Fancy Scooter Order Form

Company:___________________________________________________________________
Address:_____________________________________________________________________
Tel:_______________________Fax:______________________Email:___________________

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Fancy Scooters, Inc. www.fancyscooters.com
7930 National Hwy, Suite 204, Pennsauken, NJ 08110
Tel: 1-856-910-8500, 1-866-910-8999 (Toll Free)
Fax: 1-856-637-2198
Email: info@fancyscooters.com