ORDER FORM

Product Order Form

The goal of FBS is to provide you with order accuracy, speedy delivery, and the utmost in professionalism. We strive to make your experience with FBS INDUSTRIES a quick. simple
and positive experience.

In a perfect world everything is possible -but- if you feel we did not meet your standards - then please -
by all means- allow us to do everything in our power to satisfy your need; as we would value retaining your business.

S.P. Woodke
President/CEO
FBS INDUSTRIES

RETURN POLICY: FBS INDUSTRIES DOES NOT NOR WILL NOT ACCEPT ANY RETURNS FOR ANY REASONS OTHER THAN ERRORS MADE BY FBS INDUSTRIES.

IMPORTANT NOTE:

ORDERS THAT ARE PLACED
VIA THIS ON-LINE ORDER FORM
SHOULD LEAVE TODAY OR TOMORROW...
REASON: YOU HAVE ALREADY
ELIMINATED THE STEP OF
INPUTTING SHIPPING & BILLING
INFORMATION WHICH IS USUALLY
PERFORMED BY OUR HIGHLY TRAINED
DATA INPUT SPECIALISTS.

PLEASE DO NOT HESITATE TO CALL TO CONFIRM THAT FBS HAS HAS INDEED RECEIVED YOUR ORDER 888-327-3524.
THERE HAVE BEEN INSTANCES -DO TO SYSTEM GLITCHES - THAT CUSTOMERS HAD RECEIVED ORDER CONFIRMATIONS
VIA EMAIL...BUT FBS DID NOT ACTUALLY RECEIVE THE
ORDER.
NOTE: A $9.00 Surcharge will accessed to all orders
of $50.00 or less.

STEP ONE

CARD HOLDER INFORMATION

For your protection, we have implemented the Card Verification Value (CVV2) check. Security Code #

Why is the CVV code required?

In order to prevent fraud, our merchant bank requires the CVV code from your credit card. This ensures that nobody can illegally use your credit card number without actually having the card in their possession. This is for your protection.

FAILURE TO PROVIDE YOUR CVV # -
COULD RESULT IN REJECTION OF YOUR ORDER WITHOUT ANY NOTICE ...

CVV2#:

To Find your CVV2 number, look on the back of your credit card, directly underneath your signature panel and you will see three
numbers immediately following your credit card number. For Amex your CVV# is the four digit # located on the top and front of your card.

HOW DID YOU HEAR ABOUT FBS?

PAYMENT METHOD:
MASTER CARD
VISA
AMEX (AN ADDITIONAL 3% WILL BE ADDED TO ALL AMEX ORDERS)

CARDHOLDERS NAME (TYPE "EXACTLY" AS IT IS PRINTED ON YOUR CARD)

BILL TO: BUSINESS NAME

CREDIT CARD NUMBER: - PLEASE...NO DASHES - NO DOTS - NO SPACES

EXPIRATION MONTH/YEAR: Example: September 2001= 0901 PLEASE...NO DASHES - NO DOTS - NO SPACES

BILL TO: STREET ADDRESS

(Where does your monthly credit card statement get delivered?)

BILL TO: CITY/TOWN

STATE/PROVINCE: ZIP: TELEPHONE:

E-MAIL ADDRESS:
THE ABOVE E-MAIL ADDRESS WILL BE THE LOCATION WHERE WE SEND YOUR ORDER CONFIRMATION.
PLEASE CALL 1-888-327-3524 PLEASE WAIT 15 MINUTES TO ENSURE THAT FBS ACTUALLY RECEIVED YOUR ORDER.

	STEP TWO
	SHIPPING INFORMATION

SHIP-TO INFORMATION

Shipping information is DIFFERENT than above information:

Shipping information is THE SAME as above information:

LET US KNOW WHEN YOU NEED YOUR PRODUCT...
I MUST HAVE MY ORDER NO LATER THAN THIS DATE:(Type in date)
(example: Oct 3, 2009 write as 100309 - PLEASE...NO DASHES - NO DOTS - NO SPACES)

PLEASE USE MY UPS or FEDEX SHIPPER #
(USE THE SHIP TO FORM -- IF -- YOU ARE SENDING PRODUCT TO:
A FRIEND - AN ASSOCIATE - AS A GIFT - OR IF YOU WISH TO SHIP
TO YOUR BUSINESS ADDRESS INSTEAD OF YOUR HOME
(SHIPPING TO A RESIDENCE TAKES LONGER AND IS USALLY 18% MORE EXPENSIVE THEN TO A BUSINESS)

SHIP TO: BUSINESS NAME

ATTENTION

STREET ADDRESS :

FAILURE TO PROVIDE FBS WITH A PHYSICAL STREET ADDRESS...
WILL RESULT IN REJECTION OF YOUR ORDER WITHOUT ANY NOTICE ...
P.O. BOXES ARE NOT ACCEPTABLE SHIP TO ADDRESSES
CITY/TOWN:

STATE/PROVINCE: ZIP:

TELEPHONE:
(example: 999-555-1212 PLEASE...NO DASHES - NO DOTS - NO SPACES correct way: 9995551212

PLEASE REMEMBER TO INCLUDE: QUANTITY- SIZE- FOR EACH ITEM.
-PLEASE NOTE: WHEN INPUTTING THE PRICES IN THE BOXES BELOW-

	STEP THREE
	PRODUCT INFORMATION

PLEASE CALL OUR TOLL-FREE NUMBER TO ENSURE THAT FBS HAS ACTUALLY RECEIVED YOUR ORDER. 1-888-327-3524
FAILING TO DO SO WILL RESULT IN A NO ORDER STATUS -
MEANING: YOUR ORDER WILL AUTOMATICALLY BE REJECTED/CANCELED BY OUR
AUTOMATED ORDER SPIDER WHICH RESULTS IN YOU NOT RECEIVING YOUR ORDER.
(1)PRODUCT DESCRIPTION (ITEM NUMBERS ARE NOT IMPERATIVE - BUT HELPFUL - IF - YOU CAN PROVIDE US WITH A
                                                GOOD DESCRIPTION OF THE ITEM/S YOU ARE ORDERING)

QUANTITY: PRICE:$Subtotal before shipping:
                                               DO NOT ADD THE ($) SYMBOL
(2) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:
                                               DO NOT ADD THE ($) SYMBOL
(3) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

4) PRODUCT DESCRIPTION

QUANTITY: PRICE:$Subtotal before shipping:

(5) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

(6) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

(7) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

(8) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

(9) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

(10) PRODUCT DESCRIPTION

QUANTITY: PRICE:$ Subtotal before shipping:

(11) PRODUCT DESCRIPTION

QUANTITY:PRICE:$ Subtotal before shipping:

(12) PRODUCT DESCRIPTION

QUANTITY:PRICE:$ Subtotal before shipping:

(13) PRODUCT DESCRIPTION

QUANTITY:PRICE:$ Subtotal before shipping:

(14) PRODUCT DESCRIPTION

QUANTITY:PRICE:$ Subtotal before shipping:

PLEASE REMEMBER TO GO BACK TO STEP ONE - ON THIS PAGE - AND FILL IN YOUR THREE DIGIT CVV#.

FAILURE TO PROVIDE YOUR CVV # -
COULD RESULT IN REJECTION OF YOUR ORDER WITHOUT ANY NOTICE ...

RETURN POLICY: FBS INDUSTRIES DOES NOT NOR WILL NOT ACCEPT ANY RETURNS FOR ANY REASONS OTHER THAN ERRORS MADE BY FBS INDUSTRIES.

PLEASE DO NOT HESITATE TO CALL TO CONFIRM THAT FBS HAS HAS INDEED RECEIVED YOUR ORDER 888-327-3524.
THERE HAVE BEEN INSTANCES - DUE TO SYSTEM GLITCHES - THAT CUSTOMERS HAD RECEIVED ORDER CONFIRMATIONS
VIA EMAIL...HOWEVER - FBS DID NOT ACTUALLY RECEIVE THE ORDERS.

PLEASE REMEMBER TO INCLUDE: QUANTITY- SIZE- FOR EACH ITEM. -PLEASE NOTE: WHEN INPUTTING THE PRICES IN THE BOXES BELOW-

PLEASE REMEMBER TO INCLUDE: QUANTITY- SIZE- FOR EACH ITEM.
-PLEASE NOTE: WHEN INPUTTING THE PRICES IN THE BOXES BELOW-