WEB TV/Fax Order Form
For fax orders please complete this form - print it out and fax it to 925 828 5692

To:            SHIPPING CHARGES
Subject:      (CONTINENTAL U.S)
Name:       If total amount falls
E-mail      Between $ 0.10 to $9.99
Company:    shipping charge is $ 3.50
Address:     --------------------------
Address:    $10.00 to 19.99 add $ 4.50
Address:    $20.00 to 29.99 add $ 5.50
City
STATE
ZIP $30.00 to 39.99 add $ 6.75
Country:    $40.00 to 49.99 add $ 7.99
HomePhone                      $50.00 to 59.99 add $ 8.99
Home Fax                       $60.00 to 69.99 add$ 9.99
WorkPhone                      $70.00 to 79.99 add$10.99
Work Fax              For orders over $ 80.00 please add
                                              15% of total order

Item Descriptions.........Catalog Number..Price...Quantity|

                              TOTAL FROM ABOVE
                                      SHIPPING
                  For C.O.D orders please add    $3.75
                                        
TOTAL

                                                     To reach us by phone call 925 551 0219

Name On Card:     


  
C.C #:

Expiration date

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SHIPPING CHARGE  ON INTERNATIONAL  ORDERS ---- we will E-mail you final cost of your purchase

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