b'ORDER FORM1840 St. Johns Bluff Rd S, Jacksonville, FL 32246 DATE: ____/_____/______www.aircraftgeneralsupply.com (904) 645-0618 (888)-247-3080 fax 904-645-5079 Hours of Operation:aew1@bellsouth.netMonday-Friday 9:00-5:00 ESTAircraft General Supply (AGS) has attempted to ensure that all information in this catalog is accurate. However, AGS and our publisher do not assume responsibility for any errors or omissions. Final verification for use and/or application of the products, herein, is the responsibility of the user. This catalog is for reference purposes only. Bill To Ship ToName NameCompany CompanyAddress AddressCity State Zip City State ZipCountry Phone Country PhoneEmailShipping Information*Call for Shipping OptionsDomestic Flat Rate Ground Shipping: $18.88 ** Limited one case of oil per shipmentPAYMENT MEHTHOD Bill Our Open AccountBill Our Credit Card VISA MASTER CARD DISCOVER__________________________________________________/______ __________Card Number Exp.Date 3 Digit Code____________________________________________________________________________________Name on CardAddress City State Zip.Item # Item Name PriceQuantity TotalItem # Item Name PriceQuantity TotalReturning Merchandise PRODUCT SUBTOTAL:___________You may return any unused item within 30 days for a full refund or exchange. A 20% restocking fee will be charged for special order items. WhenSHIPPING:___________returning an items, please send a copy of your invoice and state the nature of the problem (defective, ordered in error, etc) and what you would like us to do to resolve it. Return items properly packaged and PREPAY shipping charges. Do not return your merchandise COD, our receiving depart-ment cannot accept these shipments. *SALES TAX:___________Parts sold, supplied or distributed by Aircraft General Supply will be repaired or replaced in accordance with the warranty policy of the manufac-turer or overhauled of that part. AGS will assist in filing warranty claims as necessary or appropriate for those parts. GRAND TOTAL:___________Limitations and Exclusions NOTE:1. The sole responsibility and liability of Aircraft General Supply and your exclusive remedy under this claim arising out of, connected with, orFlorida Tax exempt (Aircraft over 2000 pounds) Florida resulting from, this sale of the performance or breach of any condition or warranty there under, or from the manufacture, delivery, or use of theResidents Add 7%, must show proof (Registration Number)product shall be the repaid of, or replacement, or credit for the defective product AGS option.2. In no event, whether as a result of a breach of contract, warranty, tort (including negligence), or otherwise, shall Aircraft General Supply be liable for any special, consequential, or penal damages or expenses, including, but not limited to, costs of substitute products, facilities, or services, downtime, or costs or claims of third parties for such damages or expenses. *Prices and Products subject to change without notice*'