Order Form
Date - 
Telephone - 
Name -
Business - 
Address - 
City -
State - Zip Code - - 

Quan.
Item #
Item & Description
$$ Each
Total

Orders (sub-total) up to $15.00  ADD 
$3.95 
( *Shipping based on this amount) Sub - Total 
Orders from $15.01 to $30.00  ADD 
$4.95 
Discount (25%) for Orders over $100.00 (exc. non-disc. items) 
Orders from $30.01 to $50.00  ADD 
$5.95 
Sales Tax (for Virginia residents) 4.5% 
Orders from $50.01 to $90.00  ADD 
$6.95 
Total 
Orders from $90.01 to $120.00  ADD 
$7.95 
Shipping / Handling (see Chart at left) 
Orders from $120.01 to $185.00  ADD 
$8.95 
Orders from $185.01 and up  ADD 
$9.95 
GRAND TOTAL 
Your E-Mail Address
FOR CHECKS AND MONEY ORDERS
PRINT & COMPLETE YOUR ORDER ALONG WITH PAYMENT, THEN MAIL TO -
BY ALLISON
15427 CASHVILLE RD
ONANCOCK, VA. 23417
email me
 PHONE ORDERS - 1 757 787-3199
RETURN TO PRODUCT PAGE (or hit your BACK button to return to previous page)

I am happy to send an invoice using either Billpoint or Pay Pal, if you are registered for those services.    Just email this order blank and enclose your email address and which service.  I will send you an invoice and Billpoint or Pay Pal will notify me.  I will then send your order right out.  In the near future I hope to have a Pay Pal Shopping Cart.



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