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Product Order Form via E-Mail

Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:
Product Name:Stk#:Qty:Price:

Purchase 7 items and get the 7th item FREE! (Of the lesser value)
Or take a 10% discount with purchase of $35.00 or more.     Which ever one is to your benefit!

No credit card fee!

Total Amount of Products OrderedTot Price 
Credit your order 10% or 7th item FREECredit:    
States to Include Sales Tax:   KS, MA, NE, OK, TX, WISales Tax 
  S&H 10% to $100.00,  Min. $8.00,  (FREE over $100.00) for USA Orders   
   (International Orders 20% of Order,  Minimum $25.00)   
Add S&H: 
Please show the Grand Total of your orderGrand Tot:


Will be shipped via US MAIL or UPS Ground in USA or Airmail Package for International orders.


If paying buy check please allow 2 weeks for your check to clear your bank for delivery, or will ship upon receipt of money order, otherwise credit cards would be prefered for immediate shipping. Only use credit cards that are listed below:

Check:Money Order:Visa:MasterCard:Discover Card:

Card Number:--- Exp. Month: Exp. Year:
Card Account Name:

If you feel uneasy about sending your credit card numbers over the net, just type the first 8 numbers in our order form and then send the rest of the numbers on a different e-mail form from your server and then it would be impossible for anyone to intercept!

First Name:
Last Name:
Address:
City: State: Country:Zip:-
Phone #: Fax #:E-Mail:
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"Comments"


(You will see a screen to print as your receipt)


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