USA ORDER FORM
  ( * = Required Item ) *DATE: 
 *NAME:   *E-MAIL ADDRESS: 
 *SHIPPING ADDRESS: 
 *CITY:   *STATE:   *ZIP CODE:   *PHONE: 

 ITEM
#
TITLE OR DESCRIPTION
(Include color choice if ordering I.D. Cards)
HOW
MANY
PRICE
EACH
TOTAL
PRICE
POSTAGE RATES *Merchandise Total 
(Continental United States) Coupon Number  Minus Amount 
(INCLUDES  INSURANCE) Sub-Total 
$10.00 to $25.00 ------------- $ 7.00 *Postage 
$25.01 to $50.00 ------------- $ 9.50 *Total Due 
$50.01 to $100.00 ----------- $15.00 Write the TOTAL DUE amount down,
you'll need it to add to the Payment Page!
$100.01 to $150.00 ---------- $17.50
$150.01 to $200.00 ---------- $19.00
Over $200.01 --------- 9% of Order MINIMUM ORDER: $10.00
Alaska, Hawaii and U.S. Territories: Double Above Rates

PAYMENT BY CHARGE OR DEBIT CARD THROUGH PAYPAL ONLY.
(You will be directed there after you submit this form.)

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If you want a copy of this filled in order form for your records, PLEASE print it BEFORE pressing the "SUBMIT" button!