Name:____________________________
Address:__________________________
City:______________State:_____________Zip:_________________
Mastercard or Visa #:_________________________ Exp Date:_________________
Name on Card:______________________________
Check #:___________________________________ Phone:__________________________
Subtotal:_______________
Shipping:_______________
Total:__________________
US shipping and handling rates (*shipment to Canada add $3.00):
- Up to $20.00: $4.95
- $20.01 -- $40.00: $6.25
- $40.01 -- $75.00: $7.95
- $75.00 and over: $10.50
These rates are for standard shipping.
Canadian Orders-prices are quoted and must be paid in US dollars.
Please allow ample time for shipment to clear Customs.