(*) FILTER PACK CHOICES (*) Note: Filters are usually ordered by their "Nominal Size" which is usually 1/4"-3/8" less than the size marked, i.e. a 16" x 20" x 1" filter size is actually 15-5/8" x 19-5/8" x 5/8" or 3/4" MERV 7 MERV 8 MERV 11 1" 1" 1" Pleated Filters Pleated Filters Pleated Filters 4 / Pack 4 / Pack 6 / Pack $39.95 $49.95 $89.95 (*) Standard Sizes Apply - "Special Order Sizes" are no problem - small additional cost may apply. Ordering Instructions: 1. * Print the Order Form (blank). 2. Then fill out the form with payment information. 3. Mail or fax your order to: Air Care & Restoration Co., Inc. 1510 Gary Street, Bethlehem, PA 18018 Fax: 610-865-2191 aircareinc@verizon.net * Note: You may need to adjust the print margins in Page Setup. - - - - - - - - - - - - - - - - - - - - ORDER YOUR FILTERS HERE AND NOW - - - - - - - - - - - - - - - - - - - Note: Pennsylvania residents must add 6% PA Sales Tax. Name: Telephone: Street: City: State: Zip Code: MERV Rating # / Pack Exact Filter Size # of Packs Price / Pack Sub Total 7 4 x x 1" $39.95 7 4 x x 1" $39.95 8 4 x x 1" $49.95 8 4 x x 1" $49.95 11 6 x x 1" $89.95 11 6 x x 1" $89.95 Sub Total PA (6%) Tax TOTAL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PAYMENT METHOD - - - - - - - - - - - - - - - - - - - - - - - - - - - We accept all major credit cards or debit card. Credit Card: (Check One): MasterCard Visa Discover American Express Debit Card Card #: Expiration Date: Exact Name on Card: Billing Address for Card: Email Address for Reminder: Phone # for Reminder: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THANK YOU - - - - - - - - - - - - - - - - - - - - - - - - - - - - -