 Qty   Item No. & Description                      Price/Each Item   Total    

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                                              Merchandise Subtotal:  ___________

				                                   Shipping/Handling:      _____________

			                                                                       Total Price:     _____________

                                                      
Payment method: ____VISA     ___MC     ____AMEX      ____Discover _____Check

Phone# of Bank issuing card (on back of card):_________________________
 
Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __  Exp:_____/_____

CVV2:______    What is CVV2?


 

PLEASE PRINT!
Name on Card___________________________________________________________

Billing Address (address at which you receive credit card bills):

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Shipping Address (if different from above):

_______________________________________________________________________


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Email Address:(Required)_______________________________________________


Daytime Phone#:(Required)______________________________________________

Special Instructions: _________________________________________________
Thank you for your order.

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The following shipping and handling rates apply to most orders. These rates may be different for large quantity orders so call us toll free if you have any questions concerning large bulk purchases (866-325-8045):

UPS Ground : Free with purchases over $100.00

UPS Ground (Continental US Only): $7.50

UPS 3 day: $15.00

UPS 2 day: $25.00

UPS Next Day Saver: $39.00

UPS Next Day (Before 10:30AM): $50.00 Call for this special shipping requirement.

USPS Priority Mail (Including APO, AE, HI and AK): $8.50

USPS Global Express Canada & Fed Ex Canada: $39.00

Global Express Mail International & Fed Ex International (All overseas orders except Canada): $39.00-$85.00

UPS & Fed Ex International Rates are available by calling toll free: 866-325-8045