Order Form


Print this page , fill out the needed information and send to:

Hy-Power Antenna Company

2028 Riverside Drive

Bethlehem, PA 18015




We ship UPS Brown or Priority Mail to the lower 48 states.

PLEASE PRINT CLEARLY !

Call sign: _______________

Name: ___________________________________________________________

Address: ___________________________________________________________

City: __________________________________________________________

State: ______________________________ Zip: ____________

E mail address: (Optional ) ____________________________________

Phone number: (Optional) _________________________________

Item model number:________________________ Price: _________________

Item model number:________________________ Price: _________________

PA sales tax where apply: ( 6% ) ________________

PA Philadelphia and Allegheny

Sales tax where apply ( 7% ) : _________________

Shipping and Handling: ________________

Total: ________________

Sorry, no COD or charge cards.

Include shipping charges when calculating sales tax, PA residence only.

www.angelfire.com/electronic/hypower

You can also email us at:Hy-Power Antenna Company

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