
Order Form
All orders over $150.00 free shipping in the U.S. & Canada only!!!
Name:____________________________
E-mail address: (if any)_________________________________
Shipping Address:___________________________________________________________
City, State, Zip______________________________________________________
Telephone:_________________________________________________________
| Item No.* |
quantity |
Item and Description |
Price |
| SUBTOTAL | |||
| 8.5% Sales Tax (New York Residents only) | |||
| SHIPPING CHARGES (See Chart Below) | |||
| TOTAL ENCLOSED |
* PLEASE NOTE THAT NOT ALL ITEMS HAVE AN ITEM NUMBER.
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Please charge to my Credit card:________________________
Credit Card number:______________________________________________
Expiration date:__________________________________________________
Signature:______________________________________________________
Please allow three to seven working days for delivery depending on where you
live.