Order Form

Payment is by PayPal only:

1. Print this form and complete all necessary information.

2. Mail to the address below, after PayPal payment is made.

 

Paying by PayPal:

Email for PayPal information

 

Item #                                             Description                                            Qty.        Price        Subtotal   

             

 Steve Dull                             

3790 Glen Ridge Dr.          

 Chino Hills, CA.  91709     

 (909) 597-2923                    

 

 

Total:

Shipping:

Insurance:

Order Total:

 

Insurance Coverage Fee
$1-$50.00 $1.70
$50.01-$100.00 $2.15
$100.01-$200.00 $2.60
$200.01-$300.00 $4.60
$300.01-$400.00 $5.55
$400.01-$500.00 $6.50
$500.01-$600.00 $7.45
Over $600, email for ins. rates  

Name:

Address:

City:

State:

Zip Code:

Phone:

E-Mail:

Method of payment:  PayPal

 

 

For shipping charges on single items, please see the appropriate page. Multiple items can be combined into one shipment. Please email for shipping total on multiple items.

 

Shipping & insurance charges are for US only.

 

 

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