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Print this form on your printer. Be
sure to print in Grayscale mode.
Fill in the information. Please print carefully so
we can read it.
Fax your order to 1-208-785-3146
(Internationally, dial 001-208-785-3146)
International customers: Please
click here for additional
instructions: You must include the following: 1. A copy of the
signature on the back of your credit card.
2. One form of identification showing your signature.
3. A signed statement that you authorize the purchase.
| First Name: |
Last Name: |
| Address: |
| City: |
State: |
Postal Code: |
| Country: |
Province: |
Phone: |
| Email:
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| How
did you find us: (friend, family, search engine, printed ad,
etc.) |
| Billing
Name and address: (if different from shipping).
Circle one: MC, Visa, Discover, Amex |
| Name:
|
Address: |
| Card # |
Exp
date: |
| Signature: |
| Style Name |
Size (be sure to check size
chart) |
Qty |
Price |
Total |
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| Specify shipping option
here (see below): |
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UPS International:
Every country varies. We will email you with the shipping
amount.
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Shipping options for one item: (In
the USA ONLY)
(If you order more than 1
item, we'll email you if the shipping charge is different than
stated below.) |
| Free shipping
within the continental USA for orders over $50. Allow
5-7 days. Please note: USPS doesn't guarantee a delivery
date and it is not trackable during transit. |
$0 |
| USPS standard
delivery. Allow 5-7 days. Please note: USPS
doesn't guarantee a delivery date and it is not trackable during
transit. |
$6.55 |
| UPS 3 Day up to 2
lb (USA only). Guaranteed
delivery in 3 days. Delivery is trackable. |
$11.50 |
| UPS 2 Day up to 2 lb (USA
only) Guaranteed delivery in 2 days. Delivery is trackable. |
$18.00 |
| UPS Overnight up to 2
lb (USA only) Guaranteed delivery in 1 day.
Delivery is trackable. |
$29.50 |
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