Please Print this form and mail with your
check or money order to the address below or click here for credit cards
Name:_____________________________________
Address:____________________________________
City, State, Zip:___________________________________________
Phone:________________________________
E-Mail:___________________________________________
Shipping and Handling within the continental
USA. S&H for Non-continental USA will be quoted at time of order placement.
Based on order value of:
Method of Payment:
$0.00 to
$24.99 = $5.00
Check______
$25.00 to $49.99
= $6.50
$50.00 to $99.99
= $8.50
Money Order______
$100.00 to $149.99
= $10.00
$150.00 to $249.99
= $15.00
$250.00 to $499.99
= $20.00
$500.00 & UP
= $25.00
