Payment may be made by check or credit card (Visa or Master Card Only).
Please print this form, fill out and mail to:
Glen Ellen, California 95442, U.S.A.
Item Description..................................... |
Size(S,M,L,XL) |
Unit Price........... |
Quantity |
Item Total.................. |
| 1. | . | . | . | . |
| 2. | . | . | . | . |
| 3. | . | . | . | . |
| 4. | . | . | . | . |
| 5. | . | . | . | . |
| 6. | . | . | . | . |
Order Sub-Total |
$ | |||
California Sales Tax, 7.5% of Sub-Total * |
$ | |||
Shipping and Handling ** |
$ | |||
Order Total, Payable in U.S. $ |
$ |
| Visa or Master Card Number______________________ | Expiration Date____________ | Your Signature_____________________ | Date Signed____________ |
| Your Name | . |
| Street | . |
| Apartment # | . |
| City, State, Zip Code | . |
| Country | . |
| Your E-Mail Address | .................................................... |
Sub-Total $5 or less: |
$1.00 | Sub-Total over $20.00 |
$5.00 |
Sub-Total $5.01 to $10.00 |
$3.00 | Orders shipped outside U.S.A, add |
$5.00 |
Sub-Total $10.01 - $20.00 |
$4.00 |
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