Please fill in all spaces that are flagged with a red
asterisk (*).
*Name:
*Address:
(2nd line):
*City:
*State:
*Zip:-
*E-mail:
(used for payment verification)
Coupon Code:
*Payment Type:
Credit cards shown at right:
You do not need a PayPal account to use this option
Prepaid
Check/Money Order (item shipped when I receive the check)
Packages are sent via Priority Mail (2-3 day service) for 5% of the
total order, with a $6.00 minimum shipping/handling fee. All
packages are sent within 24 hours of payment confirmation.
Please send via Express Mail (next-day) service ($11.00 extra)
Special orders, inscriptions, instructions, or comments:
Please indicate the item you want the inscription on if ordering more
than one item.
Total number of characters and numerals in inscriptions, if any
($2.50 per character):
If you are an authorized wholesaler, enter your password here:
