ORDER FORM
Please print this form and mail or FAX to:

Lubrication Specialists, Inc., 5151 Murphy Canyon Road, Suite 135
San Diego, CA 92123

Call : 858-565-2700 - FAX: (858) 565-7399

Until we get our secure order site up it is recommended you phone in your order

FORMULA 3tm

Metal Conditioner
SIZE

QUANTITY

LIST PRICE

TOTAL

8 oz

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$ 16.95/bottle - Will treat an engine with 3-5 quarts of oil *

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Case (24 8oz Bottles.)

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$ 345.00 **

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1 Gallon

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$ 195.00 ***

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Sales Tax at 8%

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** 20% Savings over 8 oz bottle.
*** 31% Savings over 8 oz bottle.

* For maximum protection, we recommend 8oz per 3-5 qts. for the first treatment and then 4oz each oil change thereafter.

 

ORDER TOTAL

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Bill To:

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Credit Card. Please circle type.

Visa Card, Master Card, Discover, American Express

Card Number ___________________________

Expiration Date _____MO ______YR

Security Number _____

Ship To:

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NOTES



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