Print
this form if you wish to order by fax or mail.
We also accept orders online using secure
server (SSL encryption). If you wish to browse our products and order
online visit our online webstore
| Billing
Information
Name :
________________________________ Address :
______________________________ City : ______________ State : ___
Zip:_______ Daytime Phone number : ___________________ E-mail
: ________________________________
|
Shipping Information
(if different from billing)
Name :
________________________________ Address :
______________________________ City : ______________ State : ___
Zip:______ Daytime Phone number : ___________________ E-mail :
________________________________
|
| ITEM # |
DESCRIPTION |
QUANTITY |
PRICE |
SUBTOTAL |
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| Total Merchandise Cost :
|
________________ |
| Shipping, Handling &
Insurance : |
________________ |
| New York Orders (8.625% Sales
Tax) : |
________________ |
| Total: |
________________ |
Signature :
________________________________
| ORDER AMOUNT |
SHIPPING CHARGES |
| $ 1.00 - $ 25.00 |
$ 5.95 |
| $ 25.01 - $ 50.00 |
$ 6.95 |
| $ 50.01 - $ 75.00 |
$ 7.95 |
| $ 75.01 - $ 100.00 |
$ 8.95 |
| $ 100.01 - $ 150.00 |
$ 9.95 |
| $ 150.01 - $ 200.00 |
$ 10.95 |
| $ 200.01 - $ 300.00 |
$ 12.95 |
| $
300.01 - 500.00 |
$
14.95 |
| $ 500.01 + |
based on package
weight | |
- UPS AIR 2 ND DAY
UPS AIR NEXT DAY /
OVERNITE UPS Air shipment charges based on
package weight not on order amount.
If you select the shipping service other than UPS Ground we will add
the actual shipping charges based on the weight of the shipment..
- * Shipments to Alaska, Hawaii, Puerto Rico, Virgins Island, APO, P O Boxes will be shipped by US Postal 2-3 day Priority Mail and Shipments to Canada by Priority Mail International 6-10 days.
Shipping charges will be based on package weight.
We ship all the sample by US Postal Service.
|
We usually ship in 2 -3 business days.
During busy season it may take up to seven business days to ship.
If the item is on back order we will inform you when to expect it and we will ship it when it arrives.
| |