Mail Order Form
Print this order form and mail along with payment to :
|
QTY |
ITEM NAME |
PRICE |
TOTALS |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$
|
$ |
| |
|
$ |
$ |
|
Colorado residents add 6.9%
sales tax - |
|
Shipping:
| Order Total |
Shipping Rate |
| $.01 to $14.99 |
$2.00 |
| $15.00 to $49.99 |
$5.00 |
| $50.00 to $199.99 |
$10.00 |
| $200.00 and up |
Free |
All items sent USPS
All $15.00 and up items sent USPS Priority Mail Delivery Conformation
All International orders please inquire for exact amount of shipping &
handling. |
Shipping & Handling |
|
| TOTAL
ORDER |
|
|
Circle Payment Method:
Check Money Order Credit Card
|
| Name on Card : |
| Card Number : |
|
Exp.date: CVC
#: __ __ __ (last 3 digits on back of Card) |
|
Cricle
One - Visa MasterCard Discover
Amex
|
|
Your Email Address:
|
| Customer Name: |
| Address: |
| City: State
Zip Code |
| Home Phone
#
Work Phone # |
|