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Home > Order Form - Print Out - Fax: 215-343-3909
Order Form - Print Out - Fax: 215-343-3909
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Name: Please Print _______________________________________
Address: _____________________________________________
City: _________________________State: ________ Zip: ________
Phone: ( ) _______________________________________
*Email Address: Please Print __________________________________
*Company will email you when order was received and shipped
_____________________________________________
Quanity Print Product Name Retail Total
_____ _________________________________________________ $ _______ $ ____________
_____ _________________________________________________ $ _______ $ ____________
_____ _________________________________________________ $ _______ $ ____________
_____ _________________________________________________ $ _______ $ ____________
_____ _________________________________________________ $ _______ $ ____________
_____ _________________________________________________ $ _______ $ ____________
_____ _________________________________________________ $ _______ $ ____________
(A) Retail Sub Total: ..............................................$_________
Pennsylvania State Sales Tax (only if you Live in PA) x _____6%
(B) If Applicable > Pennsylvania State Sales Tax Total: .......................+ _______
(C) USA Shipping Cost: ........................................... + $5.95*
Add (A) (B) (C) for Order Total: $_________
*Shipping cost may be more, depending on weight of order.
q Check Here - if this is your 'First Order' - Company will apply 20% Discount.
Payment by: Credit Card or PayPal (Sorry, No Personal Checks or COD's)
q Visa q MasterCard q Discover q American Express q PayPal
_____________________________________________________ ___________________________
> Credit Card Account Number < > Expiration Date <
_____________________________________________________________________________________
> Signature <
Fax Number: 215-343-3909 Phone: 215-343-4965 24/7
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