Home

From
Name:
Address Line 1 :
Company/School:
Address Line 2 :
E-mail Address:
City:
I would like to join your mailing list:
State:
Postal Code:
Telephone Number :
Country/Region::
Itemized List
 
Item Description
 
Quantity
Unit Price
1.
Write Size Writing System
$
**Shipping Charges - added to Subtotal
Qty
% of Subtotal
1-2
20%
3
15%
4-10
10%
11-14
7%
15 or more
5%
$29.95
Tax - Illinois Residents Only(8.0%)
$
**Shipping/Handling
$
Total
$
Signature - Sign and Print Your Name.
 
Authorized Signature
 
Date