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 funds.



Your Shipping Address:

         Name: ______________________________________
   Address: ___________________________________

City/State/Zip: ____________________________

      Email: _____________________________________


                         
Item #    Qty   Description                                                                         Price   Total Price                                                                                                      

_____ _____ ___________________________$_______$_______

_____ _____ ___________________________$_______$_______

_____ _____ ___________________________$_______$_______

_____ _____ ___________________________$_______$_______

_____ _____ ___________________________$_______$_______

_____ _____ ___________________________$_______$_______

_____ _____ ___________________________$_______$_______


                                                                                                   ORDER SUBTOTAL$___________________________
                                                                                                                  SHIPPING $___________________________
                                                                                                                                                              (Please email for shipping charges)

                                                                                                                                Tax if Applicable$___________________________                          

                                                                                                     ORDER TOTAL $___________________________
                                                                                                                                                                    (Order Subtotal plus Shipping)
 THANK YOU FOR YOUR ORDER!