Order Form
First Name *
Last Name *
Address *
State *
City *
Zip Code *
Item Number                      Description of item                                                           Quantity   Price
PLEASE NOTE!!!!!!
After you submit order we will e-mail you an estimate with current pricing and shipping to review normally next business day!
Review and then Call us with payment Information !!!
Phone Number *                                  e-mail address *
To request invoice/estimate
Please only click on submit one time!! Thank You!
To clear form click here!!!!
Items with a * are required entries!!!
Rands Creative Creations  Harold Rand Enterprises
3729 Freeman Rd
Jacksonville FL 32207
904 398 7925
cs@hrelampparts.com
Business Name if Applicable
Pricing will be on your invoice/estimate that will be e-mailed to you to review!
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