Name:�________________________

Address: ______________________________

City: _____________ State: _______ Zip: _________

Payment Method:

Check: ____ Money Order:�____

Have you ordered form us before? ____

Day time Telephone number:�___________

Description of Item	Quantity	Price
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
(_______________________)	(_______________________)	(________________)
	Subtotal:	(________________)
	TX Residents add 8.75% Tax	(________________)
	Shipping & Handling	(________________)
	Order Total:	(________________)

Shipping & Handling Charges:

Orders up to $25.00, add $3.00

Orders $25.01 to $45.00, add $4.00

Orders $45.01 to $100.00, add $5.00

Orders over $100.00, add 7% to subtotal.

Canadian orders, add 12% to subtotal. minimum of $3.00