| Print out this order form, complete it and mail to the address below. |
| Please enter the address that
you would like the orders to be shipped to. This may differ from
billing address.
Address: __________________________ City: _____________________________ State: _______ Zip Code: ___________ Email: ________________________________ Phone # (______)____________________ Birth Date____/____/_____ |
PLEASE PRINT LEGIBLY. Money Orders only. No cash or personal checks. Please contact us with the
Money Order serial number so we can place your items on hold. |
|
| Item # | Item Name | Color | Size | Price | Quantity | Total |
| $ | $ | |||||
| $ | $ | |||||
| $ | $ | |||||
| $ | $ | |||||
| $ | $ | |||||
| $ | $ | |||||
| $ | $ | |||||
|
PA only - add 7.0% sales tax on Accessories Only |
$ | |||||
|
Shipping $7.50 charge for single item. With purchase of 2 or more items: No charge. |
$ | |||||
| 866-235-0091 |
Grand Total |
$ | ||||