Secure order form

Secure On-Line Order Form
SECURITY PROVIDED BY FORMNUT INC

Want to Order by Telephone or FAX instead? Our Phone numbers are located here.
(Please Note: We are sometimes away at the Warehouse.)
Want to FAX or Mail your Order instead? Click here
Want to Hand Write your Order? Click here

By ordering from us you have agreed to our site's conditions of use and legal disclaimer.

UK CLIENTS: Please be aware HM Customs often charges the VAT and other import fees.

Shipping Address: (Required fields are marked with *)


Date:
Name:*
E-mail:*
Address:*
Address2:
City:*
State/Province/County:*
Zip/Postal code:*
Country:*
Telephone:*

Please enter products you wish to purchase:

	Product ID	Quantity	Description	Price
1.
2.
3.
4.
5.
5.

- If you can't find the Product ID, simply describe the item you wish.
- Depending on size and destination, your order will be sent by UPS (ups.com), FEDEX or Post Office.
- If not listed on our site, shipping will be calculated after your order is received.
- U.S. and International Customers use $U.S. Dollar Prices.
- Canadians use $Canadian Dollar Prices (we charge Sales Tax only to Canadian Residents).

Billing information
(VISA and MasterCard only)

Name On Credit Card:*
Credit Card Number:*
Credit Card Type:*
Expiration Date:*
Security Code:*
	IF BILLING ADDRESS different from Shipping Address. Please include Billing Address in Comments/Details below.

Comments?

How did you hear about us?
(magazine (it's name), youtube channel, blogger, social media, online ad, friend, repeat customer, etc.)

By sending an order you have read and agree to our site's conditions of use and legal disclaimer. You must be 18 years or older to order our products.

Privacy and Security Policy Conditions of Use (Disclaimer)