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ORDER FORM

Please Note:Texas residents only must add 8.25% sales tax. Your order will be shipped by the most reasonable carrier. You may download and print this order form. Place your order by phone or e-mail, or fill out the form and mail or fax it to us. We look forward to helping you soon!

Name:
Street Address:
City: State: Zip:
Phone: Fax: E-mail:
Please ship my order to the following address:
 
 
 

 

Item

(If NP or XS, please specify)

Quantity Unit Price Total Price
       
       
       
       
       
       
Texas Sales Tax(.0825%)      
Shipping and Handling      
Totals      

Shipping and Handling Charges:

Order Amount

Charges

$1-$25 $6.95
$26-$50 $7.95
$51-$75 $9.95
$75 up $13.95

Method of Payment: Check           Credit Card #:                              Expiration:             

Signature:                                                                                                                          

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