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Shipping & Handling Fee Chart:
0-24.99 .........................................................$5.99
25.00-49.99...................................................$8.99
50.00-74.99..................................................$10.99
75.00-99.99..................................................$12.99
100.00-149.99..............................................$14.99
150.00-199.99..............................................$15.99
200.00-249.99..............................................$16.99
250.00-299.99..............................................$17.99
300 & UP.....................................................$18.99
For Express 3 day shipping add $10.00 more.
Buyer's Information:
Name__________________________________________
Address_________________________________________
State________Zip Code________
Email Address_________________Phone #____________
Signature__________________________________
Please Read Our Terms & Conditions
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Subtotal
Shipping & Handling Fees
Tax(6.5% Illinois Only)
Total
Credit Card Information: Visa _____Mastercard______
Name on Card __________________________________
Card #_________________________________________
Expiration Date:________________________________
Is the shipping address the same as the address at the left?
Yes____ No_____ If the shipping address is different please
enter that information below.
Name_______________________________________
Address______________________________________
State___________________Zip___________________
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