ORDER FORM

Name

Shipping Address



Billing Address for Credit Card



Daytime Phone                                                     Email

   Description of items            Quantity           Price                      Total

1.

Method of Payment                                                      Merchandise Total     $

_Visa                                           For delivery in AL, add 4% sales tax    $

_Mastercard                                                                            Shipping     $

___ American Express                                                                       Total   $

Discover Card

Card Number                                                                 Exp.Date

Signature                                                                     Security Code

Name on credit card if different from above

ORDER FORM

Method of Payment Merchandise Total $ ___Visa For delivery in AL, add 4% sales tax $ ___Mastercard Shipping $ ___ American Express Total $

Card Number Exp.Date Signature Security Code Name on credit card if different from above

THANK YOU FOR YOUR BUSINESS All sales are final. Please see store policy statement for additional information.

Method of Payment Merchandise Total $

_Visa For delivery in AL, add 4% sales tax $

_Mastercard Shipping $

___ American Express Total $

Card Number Exp.Date

Signature Security Code

Name on credit card if different from above

THANK YOU FOR YOUR BUSINESS

All sales are final. Please see store policy statement for additional information.