Fancy Scooter Order Form
Company:___________________________________________________________________
Address:_____________________________________________________________________
Tel:_______________________Fax:______________________Email:___________________
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Fancy Scooters www.fancyscooters.com
575 North Route 73, West Berlin, NJ 08091
Tel: 1-856-809-2796
Fax: 1-866-910-6226
Email: info@fancyscooters.com