SHIPPING
INFO | BILLING INFO (fill in only if different) | ||
Name | ____________________ | Name | ____________________ |
Address | ____________________ | Address | ____________________ |
Address | ____________________ | Address | ____________________ |
City | ____________________ | City | ____________________ |
State | ____________________ | State | ____________________ |
Zip | ____________________ | Zip | ____________________ |
Phone | ____________________ | Phone | ____________________ |
____________________ | ____________________ |
CREDIT CARD INFO (if not paying by check or money order) | |||
We accept credit cards, checks and money orders from the US, including APO/FPO's. We accept credit cards and international money orders from Puerto Rico. We do not accept orders from any other countries. | |||
Card # | ____________________ | Exp. | ____________________ |
Name on Card | ____________________ | Type | Visa Mastercard Amex (circle one) |
CSC Code | ____________________ | What is a CSC Code? Visa/MC | Amex |
Standard Ground Shipping | |
Order Total | Shipping Cost |
$0.01-$19.99 | $10.00 |
$20.00-$49.99 | $12.00 |
$50.00 and up | $14.00 |
More shipping options for AK, HI, Puerto Rico, Economy & Express shipping: See Chart |
PURCHASE INFO | ||||
Product Code | Description Size/Color (if applicable) | Qty | Price Ea. | Total |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
______ | _______________________________ | ____ | $_______ | $______ |
Subtotal | $______ | |||
Shipping Method | _______________________________ | Shipping | $______ | |
GRAND TOTAL | $______ |