Task Force Omega, Inc.

14043 North 64th Drive
Glendale, Arizona. 85306-3705
Phone & Fax (623) 979-5651 
E-mail: tfoinc@inficad.com
Non-Profit Tax Exempt IRS # 54-1243251
Bill To:_______________________________

Address __________________________________

City, _____________________________________

State. ______________ Zip: _________________

Phone # _(________)_________--______________
Ship To:______________________________

Address __________________________________

City, _____________________________________

State : _____________ Zip: _________________

Phone # _(________)_________--______________
QUANTITY
DESCRIPTION
UNIT PRICE
AMOUNT
       
       
       
       
       
       
       
       
       
       
       
       
Signature:
SUBTOTAL
  
Ex: Date
Enter Credit Card # here, and circle type of card 
Check #
Shipping & HandlingUnder 
Under $20.00__________$3.00
$21.00- $50.00 ..............$4.00
$51.00 -- $200.00 ...........$5.00
$201.00 up ...................$6.00 
SHIPPING & HANDLING
  
   
TOTAL DUE
  
Make all checks payable to:  Task Force Omega, Inc.     $25.00 Charge for All returned checks
THANK YOU FOR YOUR BUSINESS!