Address:_______________________________________________
City:___________________________State:______Zip:_________
Phone:____________________E-Mail:______________________
Item Description:___________________________Qty__Price:_____
Item Description:___________________________Qty__Price:_____
Item Description:___________________________Qty__Price:_____
Item Description:___________________________Qty__Price:_____
Item Description:___________________________Qty__Price:_____
Item Description:___________________________Qty__Price:_____
Subtotal:____________
+ Shipping and handling(!.95 for every 2)____________
(CT residents add 6% sales tax)____________
Total:____________