ORDER FORM
Submit Online or Print and Mail or Fax
ALL PRICES IN US $

ORDERED BY:
Mr. Mrs. Miss Ms.
First Name:
Last Name:
Street Address:
Apt No:
City:
State:
Zip:
Country:
Phone:
E-mail:
SHIP TO (If different from above):
Name
Street Address
City
State
Zip:
Country
PAYMENT:
Payment Enclosed:
MasterCard:
Visa:
Card Number:
Expiration Date:
Cardholder Name:
Product Number How Many Name of Item/Color/Size Price Each
$
$
$
$
$
$
$
$
$
$

If you do not hear from us within 48 hours please call our sales department at 1-800-421-6069 to confirm that your order is being processed.

7% Sales tax will be added automatically to Rhode Island orders.
We accept only MasterCard or Visa.
All prices are subject to change without notification.

Shipping:
Packing & Guaranteed Delivery:
Orders to be shipped to the USA, its territories or possessions,
to EACH shipping address, the following charges will be added:
Orders up to $20.00 / $7.95
Orders from $20.01 - $50.00 / 9.95
Orders from $50.01-$100.00 / $12.95
Orders from $100.01 - $200.00 / $14.95
Orders over $200.00 / $16.95

Unless you request otherwise your order will be shipped UPS surface.
UPS requires street addresses. No P.O. Boxes, please.
Most orders are shipped within 48 hours.
Three day select, 2nd day air and next day air are available for rush orders received by telephone.
International orders can be shipped UPS, Federal Express or U.S. Air Mail.
Our shipping charges include shipping, handling and insurance.