All sales are in US dollars and payable to David Ginn
Name: ________________________________________
Address:
______________________________________
City:_______________________
State:_________ Postal Code:__________
Country:_________________________
Telephone (______) _________ -
_____________ Date________________
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Quantity |
Price Each |
Total Price |
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| Sub Total |
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| Shipping & Handling (See
Rate Table Below) |
|
| Total Order |
|
| Shipping &
Handling |
| $00.01 - $50.00.....$8.00 |
Over $100.00........$10.00 more
with additional
costs for large or heavy shipments via UPS or USPS |
| $50.01 - $99.99.....$9.00 |
Outside USA add $10.00
surface or 30% airmail
Canada: add $10 minimum per order and I'll
ship best way possible
|
| [ ] Discover |
[ ] AMEX |
[ ] Mastercard |
[ ] Visa Card |
| Card Number: |
Expiration Date: |
| Card holder's name as
it appears on the card: |
| Card Holder's
Signature: |
|