Example Order form



Fill in the information below and press "Print" at bottom of page

Customer Information:


Customer Name: 
Address:       
City:           
State:          
Zip:           
Telephone:     
Fax:           
E-mail:        

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If you're using Microsoft Internet Explorer Browser press the "Clear Form" first!

Order Calculator
Enter Quantity desired..then Click on "Calculate Results"
Item	Quantity	Price Each		Amount
Item x		$2.35 Each		$
Item 2		$2.00 Each		$
Item 3		$3.00 Each		$
Item 4		$4.00 Each		$
Item 5		$5.00 Each		$
Item 6		$6.00 Each		$
Item 7		$7.00 Each		$
Item 8		$8.00 Each		$
Item 9		$9.00 Each		$
Item 10		$10.00 Each		$
Shipping: $0-$100   $5;  over $100 5% Total				$
			SubTotal:	$
The above amount is your total including shipping charges.				TOTAL:
Sales Tax - Add 6.00% Tax.		Tax:	$	$

Please send the total amount by check or money order to:

Your Company
Your Address
Your City & State
Your Phone/Fax #'s

Check orders take two weeks to process.

Thank You For Your Order!