Mail In Order Form
Name:____________________________ Address:__________________________ City:___________________ State:______ Zip Code:__________ Daytime Phone:(_____)___________________ |
Name:____________________________ Address:__________________________ City:___________________ State:______ Zip Code:__________ |
Item Number |
Description / Color |
Quantity |
Price Each |
Total |
Sub Total |
|
SC Residents add 6% tax |
|
Shipping within US |
$_________ |
Shipping outside US |
$_________ |
Total |
Thank you for your order!
**Shipments outside of the Continental US, multiply by four the standard US shipping charge.