4628 S. Ward Way, Morrison, Colorado 80465
Phone: 303-978-0940 and 303-719-0950
E-mail: lifereef@lifereef.com

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Order Form

NOTE: THIS IS NOT A SECURE SITE!
DO NOT send your credit card information from this page. We will contact you by phone to get this information. If you wish to pay using PayPal we will send you a PayPal request for payment. Check below for your payment method:

Credit Card       PayPal
Name:
Address 1:
City:
State/Province:
ZIP/Postal Code:
Country:
Phone:
Email:
Payment: For credit card payment, we will call you to confirm your order and obtain card information.
For PayPal customers, we will contact you to confirm your order and send a PayPal request for payment when your order is packed and ready to ship.
Availability: You have read the product availability schedule at our main page and by submitting this order form agree to wait for the particular item(s) should they be out of stock.

If you don't remember the part number just use a description.

Item Description Qty Cost Subtotal
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$0.00
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Comments:
Subtotal    $0.00
Colorado Residents: 5% Sales Tax will
be added when the order is processed.
Total    $0.00

Shipping And Handling Will Be Added To The Total

Order cancellations are NOT accepted via email and must be called in.