| QTY |
ITEM NAME AND NUMBER |
PRICE |
TOTAL |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
|
NC Residents Add 7% tax
|
Sales Tax |
|
Shipping & Handling:
0 - 5.00 = 5.50
5.01 - 25.00 = 11.00
25.01 - 55.00 = 17.00
55.01 - 75.00 = 24.00
75.01-100.00 = 28.00
(Contact us for shipping costs if order is over 100.00)
AL, HI, PR, GU, Canada: please add 6.00 to the above shipping prices
International Orders: Add 23% of merchandise total or 15.00 minimum
|
Shipping & Handling |
|
| TOTAL
ORDER |
|
| MAILING INFORMATION |
| Customer Name |
| Address |
| City State Zip
Code |
Home Phone # Email
Address
|
| CREDIT CARD INFORMATION |
| Name on Card -
|
| Card Number -
|
| Exp.date
Type of Card: VISA MASTERCARD |
|