| QTY |
ITEM # and NAME |
PRICE |
TOTALS |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| |
|
$ |
$ |
| VA Residents Add 4.5% tax -
|
Shipping
and Handling :Graphic CDs offer Free Shipping
For all other products, please refer to our shipping structure:
| Up to $30.00 | $5.50 |
| $30.01 - $100.00 | $6.50 |
| $100.01 - $200.00 | $8.50 |
| $300.01 - $400.00 | $9.75 |
| $400.01 - $500.00 | $11.00 |
| $500.01 - $600.00 | $13.00 |
| $600.01 - $700.00 | $15.00 |
| $700.01 - $800.00 | $17.00 |
|
Shipping & Handling |
|
| TOTAL ORDER |
|
| CREDIT CARD INFORMATION |
Name on Card -
|
Card Number -
|
| Exp.date Circle
One: VISA M/C
|
| CUSTOMER INFORMATION |
| Customer Name |
| Address |
| City State Zip
Code |
Home Phone # Work
Phone # Email
Address
|
|