This form can not be sent by email but is given so you can PRINT this form and MAIL it to -
State/Province: ___________________________
_________ Visa
Items To Be Shipped Qty:
Item #
Description: Size-Color: Price: ________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
________ _________ ___________________________ ______________ __________
Type of Credit Card
_________ Mastercard
Shipping Cost For U.S. Addresses.
(Orders shipped US Postal Service.)
Shipping and Insurance charges are the responsibility of the buyer.
up to $75.00 = $2.50
$75.01 to $125.00 = $3.00
$125.01 to $165.00 = $3.50
$165.01 to $200.00 = $4.00
$200.01 to $250.00 = $4.50
$250.01 to $300.00 = $5.50
$300.01 to $375.00 = $6.50
$375.01 to $425.00 = $8.75
$425.01 to $475.00 = $9.75
$475.01 to $525.00 = $10.75
$525.01 or more = $12.50
NOTE: All oversized and overweight items require additional charges.
Shipping cost: ___________________
Shipping cost for outside the U.S.A. will be quoted in order conformation.
Sales Tax: 5.00% for Wisconsin residents only.
Tax (if applicable): __________________
Order Total: _______________________
| | APPROVALS | ABOUT US | BOOKS | BROWSE | CATALOG | CONTACT US | CUSTOMER SERVICE | DICTIONARY | HOME | INFORMATION | ITEM INDEX | JABLONEC CZ | JUST RIGHT | JOIN A STATE CLUB | JOIN WI BUTTON SOCIETY | LINKS | SHIPPING | SHOWS | STUDY SHEETS | SUPPLIES | WHATS NEW | |