Ship To:
Name_____________________________
Address__________________________
City_______________State_________Zip________
Item Number-------Quantity-----Cost------Extension
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Sub Total........................................................___________
Shipping Charges............................................___________
Total..............................................................___________
Include Check or Money Order for Total Amount, Missouri Residents add sales tax.
All Orders paid with Money Orders will ship same day,
all paid with Check will ship when check posts.
