Bill to:
Name_________________________________________________________________
Address line 1_______________________________________________________
Address line 2_______________________________________________________
City________________________ State_______ Zip Code___________________
Phone____________________ E-mail Address_____________________________
Ship to (if different from above):
Name_________________________________________________________________
Address line 1_______________________________________________________
Address line 2_______________________________________________________
City________________________ State_______ Zip Code___________________
Product:
Item # Description Qty. Price Total
________ ________________________________ ___ ______ ________
________ ________________________________ ___ ______ ________
________ ________________________________ ___ ______ ________
________ ________________________________ ___ ______ ________
________ ________________________________ ___ ______ ________
Subtotal ________
CA residents add 7.75% sales tax ________
Shipping Method:
FedEx Ground____ FedEx 2nd Day Air____ FedEx Next Day Air____
Shipping & Handling (see chart below) ________
Total ________
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Shipping & Handling Charges
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| Please note: The above rates apply if all items are shipped to the same address. If we ship to more than one address, the above rates apply for each address. If your order is being shipped to destinations outside the USA, please phone 888-233-2659 for pricing and shipping information. Some pricing may be subject to change and certain merchandise on this Web site is subject to availability. Unconditional Money Back Guarantee: All products are backed by an unconditional money back guarantee. If you are not fully satisfied, for any reason, just return the merchandise within 30 days for a full refund of your purchase price. |
Please fax or mail this order form to:
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