
Please print this form, fill it out,
and mail it with your check or money order in US Funds.
It is imperative to EMAIL for shipping charges prior to sending order.
Your Shipping Address:
Name: ______________________________________
Address: ___________________________________
City/State/Zip: ____________________________
Email: _____________________________________
Telephone: _____________________________________
Item # Qty Description Price Total Price
_____ _____ ___________________________$_______$_______
_____ _____ ___________________________$_______$_______
_____ _____ ___________________________$_______$_______
_____ _____ ___________________________$_______$_______
_____ _____ ___________________________$_______$_______
_____ _____ ___________________________$_______$_______
_____ _____ ___________________________$_______$_______
ORDER SUBTOTAL$___________________________
SHIPPING $___________________________
(Please email for shipping charges)
Order will not be shipped without it!
Tax if Applicable$___________________________
ORDER TOTAL $___________________________
(Order Subtotal plus Shipping)
THANK YOU FOR YOUR ORDER!