IMPORTANT INFORMATION ABOUT THIS FORM: this
form is a replication of our regular mail order
form. You can fill out the form on your computer
and then print it out to be faxed or mailed or
you can print it out, fill it out by hand, and
then fax or mail it to us. You need to be SURE
that all the information that you provide is correct.
Please make sure that you have done your math
correctly. This would be cause for your order
to be delayed or nullified. You will still need
to calculate the amounts yourself. Please read
carefully. The fax number and mailing address
are located at the bottom of this form. Thank
you.