Quantity

Model #

Color

Price Each

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

Can I substitute standard colors? Yes/No_______

7.5% IL Tax

 

 

 

 

Total Shipping

 

 

 

 Paypal users

Add 4.3% to total

 

 

 

 

Total enclosed

 

 

SHIP TO:

Name

 

 

 

 

 

 

Address

 

 

 

 

 

 

City

 

State

 

Zip

 

Payment methods PAYPAL, Money Orders, Personal Checks, international Money orders