SSL Aprilaire Model 1700 Dehumidifier Order Form
Name Address Address City State Phone E-mail Address zip code
(We verify all orders)
Payment by Check/Cash
Check Number Cash
Payment by Credit card
Choose Card Visa Master Card Discover Card Number Expiration Date
3 Digit Security Code (Last 3 Digits on back of your credit card)
Sales Tax
Total $
We Also accept Checks and Money Orders Print out form and Mail with payment to:
DJ's Online Attn: Mark Anderson 6060 LaBeaux Avenue Albertville, MN 55301