Name: ________________________________
Address: ______________________________
City: __________________________________
State: __________________ Zip: ________
Phone: (____) _________________

ITEM NAMEUNIT PRICEQUANTITYTOTAL
Shipping & HandlingCall for Total
1-800-811-6440
Washington Residence Sales Tax
Total Sale

Send check or money order to:

Arima Marine International, Inc.
47-37th Street N.E.
Auburn, WA 98002
U.S.A