Order Form - This is a non secure order form. If you wish to place an order, but do not wish to use this order form. Please dial our toll free telephone number 1-866-800-2814 Prices are subject to change without notice! Please provide us with your order request: DESCRIPTION QUANTITY PRICE 1. 2. 3. 4. 5. 6. 7. 8. Subtotal Free Shipping with orders of merchandise total One Hundred Fifty Dollars ($150.00) or more! U.S.A. Only International/Foreign Orders: (Outside the U.S.A.) Shipping prices listed in our Shipping Cost table are for U.S.A. orders only. They do not apply for International/Foreign orders, (orders outside the U.S.A.). There will apply additional shipping charges for international orders. In order to fulfill an international order, there will be additional shipping cost to include the international shipping charges incurred. Those charges would be calculated after the order was packaged and weighed in order to determine the additional shipping cost. We will contact to you, via e-mail, and inform you of the additional international shipping cost. Your account would then be invoiced and /or charged the additional postage cost, and the order shipped. Shipping Costs: (U.S.A only). Dollar Total of Order (merchandise total) Shipping $0.01 USD - $25.00 USD $7.50 USD $25.01 USD - $50.00 USD $9.50 USD $50.01 USD - $75.00 USD $11.50 USD $75.01 USD - $149.99 USD $13.50 USD $150.00 USD - and up $0.00 USD Please provide us with the following information: Billing Information Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Phone FAX E-mail SHIPPING Address (if different than Billing) Name Address Address (cont.) City State/Province Zip/Postal Code Country BILLING Credit Card American Express MasterCard Visa Cardholder Name Card Number Expiration Date month: /year: ( example: 07/2007) CCID Number: As an added security measure, we ask that you enter an extra 3-4 digit number located on the back of your credit card, on or near the signature panel, American Express customers have a 4 digit CCID located on the front of the card. Prices are subject to change without notice! This is a non secure order form. If you wish to place an order, but do not wish to use this order form. Please dial our toll free telephone number 1-866-800-2814
If you wish to place an order, but do not wish to use this order form.
Please dial our toll free telephone number 1-866-800-2814
Please provide us with your order request:
PRICE
Free Shipping with orders of merchandise total One Hundred Fifty Dollars ($150.00) or more! U.S.A. Only
International/Foreign Orders: (Outside the U.S.A.)
Shipping prices listed in our Shipping Cost table are for U.S.A. orders only. They do not apply for International/Foreign orders, (orders outside the U.S.A.). There will apply additional shipping charges for international orders. In order to fulfill an international order, there will be additional shipping cost to include the international shipping charges incurred. Those charges would be calculated after the order was packaged and weighed in order to determine the additional shipping cost. We will contact to you, via e-mail, and inform you of the additional international shipping cost. Your account would then be invoiced and /or charged the additional postage cost, and the order shipped.
Shipping Costs: (U.S.A only).
Dollar Total of Order (merchandise total) Shipping $0.01 USD - $25.00 USD $7.50 USD $25.01 USD - $50.00 USD $9.50 USD $50.01 USD - $75.00 USD $11.50 USD $75.01 USD - $149.99 USD $13.50 USD $150.00 USD - and up $0.00 USD
Please provide us with the following information: Billing Information Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Phone FAX E-mail SHIPPING Address (if different than Billing) Name Address Address (cont.) City State/Province Zip/Postal Code Country BILLING Credit Card American Express MasterCard Visa Cardholder Name Card Number Expiration Date month: /year: ( example: 07/2007) CCID Number: As an added security measure, we ask that you enter an extra 3-4 digit number located on the back of your credit card, on or near the signature panel, American Express customers have a 4 digit CCID located on the front of the card. Prices are subject to change without notice! This is a non secure order form. If you wish to place an order, but do not wish to use this order form. Please dial our toll free telephone number 1-866-800-2814
Please provide us with the following information:
CCID Number:
Prices are subject to change without notice!
This is a non secure order form.