Order Form


Ordering Information:

To Insure that your order is filled correctly, please use the correct prefix, followed by the products catalog number. Please take note that some product numbers are followed by additional letters to denote color or quantity.

e.g "VO", "XS", "DW", "B"

 

Item #
Quantity
Description
Price/Unit
Total
       
Grand Total

Special Orders, Specifications or Comments:


Choose Shipping Method: UPS FedEx USPS Next Day 3Day Ground

~Shipping Information: Shipping is not included in the above prices. Shipping costs will be added to the order and determined according to shipping destination and shipping carrier. Customer will be contacted with the shipping totals prior to the product being shipped.

~Shipping Methods: We ship via the following: UPS, FedEx, USPS, Next Day, 3Day, Ground.

~California Sales Tax: California Sales Tax is not included in the above prices. California sales tax will be determined and added to the order. Customer will be contacted with full order price prior to the product being shipped.

~All prices are subject to change without notice
~Prices effecitve Jan 2009


* Required


BILL TO
  
SHIP TO
  
* Name:
 
Name:
 
* Address:
 
Address:
 
* City/State
 
City/State:
 
* Zipcode:
 
Zipcode:
 
Attention:
 
Attention:
 
* Contact Phone:
 
Contact Phone:
 


* Order By (Name):
 
Other Contact Name:
 
* Phone Number:
 
Fax Number:
 
* Email Address:
 
Company/Institution:
 
Department:
 
Purchase Order #:
 

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