Tanis Aircraft Products - Online Ordering

"SECURE ORDER FORM"

4 EASY STEPS

FOR ORDERING PARTS, KITS OR ACCESSORIES

STEP 1

Please fill out all information blocks below that apply:

Last name:

First Name:

Company Name: Only If Applicable To Shipping!

Street Address (1):

Street Address (2):

City:

State:

Zip / Postal Code:

Country:

Phone Number:

Fax Number:

E-mail Address:

* Required

Credit Card Number:

Expiration Date:

Control # on Back of Card

(Only If Different That Above Information.)

SHIP TO

Last Name:

First Name:

Company Name:

Street Address:

City:

State:

Zip/Postal Code:

STEP 2
Select method of payment:
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UPS C.O.D. FED X C.O.D.

STEP 3
Select method of delivery:

STEP 4
ORDER FORM

WHEN ORDERING ILD2100 INSTRUMENT LIGHT DIMMER INCLUDE AIRCRAFT N#, SERIAL#, AND MODEL# IN COMMENTS BELOW.

WHEN ORDERING ENGINE DEHYDRATOR INCLUDE ENGINE MAKE, MODEL AND AIRFRAME IN COMMENTS BELOW.

Item Part Number

Quantity

Price Each List

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To mail in order, send name, address: and payment to:

TANIS AIRCRAFT PRODUCTS

P.O. BOX 117

GLENWOOD, MN 56334

Phone (800) 443-2136 - (320) 634-4772 - Fax: (320) 634-4772

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