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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: 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: |
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Address: |
| City: |
State: |
Zip: |
| Country: |
Province: |
Phone: |
| Email:
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| How
did you find us? (friend, family, search engine, printed ad,
etc.) |
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Billing Name and Address: (if different from shipping).
Circle one: MC, Visa, Discover, AmEx |
| Name:
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Address: |
| Card
# |
Exp date: |
| Signature: |
3-Digit Security Code: |
| 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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USPS International
Express: Every country
varies. We will email final cost to you for approval.
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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 7-10
days. |
$0 |
| USPS Priority delivery.
Allow 5-7 days. Please note: USPS does not guarantee a delivery
date and package is not trackable during transit. |
$7.75 |
| Fed Ex Express Saver (3
day) up to 2 lb (USA only)
Guaranteed delivery in 3 days. Package is trackable in transit. |
$15.00 |
| Fed Ex 2 Day up to 2 lb
(USA only) Guaranteed delivery in 2 days. Package
is trackable. |
$23.00 |
| Fed Ex Standard Overnight
up to 2 lb (USA only)
Guaranteed delivery in 1 day. Package is trackable. |
$45.00 |
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