PRODUCT
ORDER
|
PRODUCT
ORDER
|
| Customer Name: | ||
| Phone:
|
Fax: | Email: |
| Shipping
Address: |
||
| Date: | ||
|
Item
Number
|
Item
Name
|
Quantity
|
Unit
Price
|
Total
|
|
Credit Card
Information (VISA / MC / AMEX / Discover, only) |
SubTotal:
|
|||
|
Shipping
& Handling:
|
||||
|
Tax:
CA residents add 8.75% |
||||
|
Total:
|
||||
|
AMOUNT
OF ORDER
|
SHIPPING
PRICE
|
AMOUNT
OF ORDER
|
SHIPPING
PRICE
|
| $0.01 to $49.99 |
$9.50
|
$250.00 to $699.99 |
$38.50
|
| $50.00 to $99.99 |
$14.50
|
$700.00 and up |
$48.50
|
| $100.00 to $249.99 |
$19.50
|
Additional shipping charges
will be added for heavy /bulk items.
|
|