BY FAX: 805-484-1069
BY MAIL: 1429 E.Thousand Oaks Blvd. Suite 105, Thousand Oaks, CA 91362.
BILLING INORMATION:
NAME:_________________________________________________________________
ADDRESS: _____________________________________________________________
CITY: ___________________ STATE________ ZIP: __________
CONTACT TEL:_________________ E MAIL:_________________
SHIPPING INFORMATION: Only if Different from Billing Info.
NAME: ________________________________________________________________
ADDRESS: _____________________________________________________________
CITY: __________________STATE _______ ZIP:__________
METHOD OF PAYMENT:
MASTERCARD: _____ VISA: _____
CREDIT CARD NO: ______________________________________________________
EXPIRATION DATE:______________________________________________________
CARDHOLDER'S SIGNATURE:______________________________________________
| ITEM | QUANTITY | Unit PRICE | Total Price |
| Shipping& Handling. Use the calculator below. |
|||
| 7.25% sales tax for California residents only. | |||
| ORDER TOTAL |
SHIPPING COST CALCULATOR
| Total Price | Shipping cost | Total Price | Shipping cost | Total Price | Shipping cost |
|
$1.00 to 50.00 |
$5.00 |
$51.00 to 100.00 |
$7.00 |
$101 and up |
$ 10.00 |
Please note
that we only accept US Dollars.
We ship within
For questions, please call 888-495-2002.