Order Form for Customers Paying by Check or Money Order

Orders paid by check are shipped after a 
10 business day waiting period to allow checks to clear.  


Please provide the following ordering information:

Note:Do not use THE ENTER KEY (it will transmit this form prematurely).
Use Tab key or mouse to move from one space to another.

E-mail address (Very Important)

 

QTY ITEM # DESCRIPTION PRICE

(Additional items can be entered in the comments box at the bottom of this form)

  Sales tax 7.75% of above total 

Only for shipments to California
 

ALL SHIPPING IS FULLY INSURED

Total special shipping charges
(if any) from item's description

Shipping charge from chart below

 Leave this box blank- you do not pay this- if you have entered a special shipping charge above.   

SHIPPING CHARGE CHART

TOTAL MERCHANDISE AMOUNT  
Orders $99.99 and under $8.95
$100 - $200 $9.95
$200+   $10.95
Foreign orders $19.95 minimum


CUSTOMER INFORMATION
Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone

SHIPPING ADDRESS - ONLY IF DIFFERENT FROM ABOVE
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
COMMENTS
(Is this a layaway?  Do you qualify for a free offer?  Special Instructions?)
You may wish to print a copy of this form now for your records.  
Please click the button below to submit your order,
then remember to send your check or money order to the address on the next page.