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Effective 03×18/2013 I Mobility 4848 Industrial Park Rd Stevens Point, WI 54481 Phone (800× 9811540 Fax (715× 2540996 sales kimobility.com www.kimobility.com ROGUE Company: Ship To: Account Number:
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How to Fill Out Order Form Rogue 031813:

01
Start by entering your personal information in the designated fields on the form. This includes your full name, address, phone number, and email address.
02
Next, indicate the quantity of the item or items you wish to order in the appropriate box. Make sure to specify the model or product code for each item if applicable.
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Proceed to fill out the billing information, including your credit card details or preferred payment method. Ensure you provide accurate and up-to-date information to avoid any payment processing issues.
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If there are any specific instructions or requests related to your order, such as color preferences or additional accessories, include them in the provided space or as a separate note.
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Review all the information you have entered on the form carefully to avoid any errors or omissions. Double-check the accuracy of your personal details, order quantities, and payment information.
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Once you are satisfied with the information entered, sign and date the form to validate your order. If submitting the form electronically, you may need to type your name in the designated signature space.

Who needs Order Form Rogue 031813:

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Individuals who want to purchase products offered by the company or brand associated with Order Form Rogue 031813.
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