Refinishing Work Order

PBI Internal Use Only

Date Received: / /

Job/Inventory #:

Name:_________________________________________________________

Address:_______________________________________________________

_______________________________________________________

Phone #:_______________________________________________________

Email:_________________________________________________________

List item(s) included with detailed instructions & serial numbers (if applicable):

______________________________________________________________________________________

Ship All Orders & Make Check or Money Order Payable To:
Para Bellum Inc.
6916 Heavrin Ave
Louisville, KY 40218
(502)759-4010

Value in US Dollars for Return Shipping Insurance	$
Total Check or Money Order Payment Enclosed:	$

List CC # Below:

____________________________________

Exp. Date: _________________________

- OR -

If you wish to pay by CC over the phone, please indicate so by checking the box below & someone will contact you for your info.

Call Me For Payment