PRINTABLE ORDER FORM                 DATE: _______________

NAME:     ________________________________________________

ADDRESS:  ________________________________________________

          ________________________________________________

PHONE #:  ________________________________________________

PAYMENT METHOD........VISA, MASTERCARD, CHECK, MONEY ORDER

CARD #    _______________________EXPIRATION: _____________

EMAIL (OPTIONAL)___________________________________________

ITEM.....................QUANTITY.....................PRICE
-----------------------------------------------------------
1)

2)

3)

4)

SHIPPING:
-----------------------------------------------------------

TOTAL:
___________________________________________________________
COMMENTS:

SHIPPING CALCULATOR

$  0.01 - $ 13.50 ............$1.50
$ 13.51 - $ 40.00 ............$5.50
$ 40.01 - $ 80.00 ............$7.50
$ 80.01 - $125.00 ............$9.50
 $125.01 - UP ................$12.50