Order Form

 BY FAX:   805-484-1069

BY MAIL: 1429 E.Thousand Oaks Blvd. Suite 105, Thousand Oaks, CA 91362.   

BILLING INORMATION:

NAME:_________________________________________________________________  

ADDRESS: _____________________________________________________________  

CITY: ___________________ STATE________ ZIP: __________  

CONTACT TEL:_________________ E MAIL:_________________  

SHIPPING INFORMATION: Only if Different from Billing Info.  

NAME: ________________________________________________________________  

ADDRESS: _____________________________________________________________  

CITY: __________________STATE _______ ZIP:__________  

METHOD OF PAYMENT:   

MASTERCARD: _____             VISA: _____   

CREDIT CARD NO: ______________________________________________________  

EXPIRATION DATE:______________________________________________________  

CARDHOLDER'S SIGNATURE:______________________________________________

ITEM QUANTITY Unit PRICE Total Price
       
       
       
       
    Shipping& Handling.
Use the calculator below.
 
    7.25% sales tax for California residents only.  
    ORDER TOTAL  
                                       

   SHIPPING COST CALCULATOR

Total Price Shipping cost Total Price Shipping cost Total Price Shipping cost

$1.00 to 50.00

$5.00

$51.00 to 100.00

$7.00

$101 and up

$ 10.00

Please note that we only accept US Dollars.

For questions, please call 888-495-2002.