
NAME ____________________________________
ADDRESS _________________________________
CITY _____________________________________
STATE _____________________ ZIP___________ TELEPHONE ( __ )_____________
p PAYMENT ENCLOSED p BILL ME p VISA / MASTERCARD
QUANTITY _______________________________
CARD NO. ________________________________
EXP DATE ________________________________
The Townsend Ultimate Portable Bathroom comes with a 6 month warranty against defects in materials and craftsmanship.
Created and
Maintained by KISS Web Services ®
© Copyright 1995, 1996, 1997, 1998 Dennis Fisher - Revised
January 10, 1998