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Print Out Form, Fill In and Fax To 256-262-0555.

Name________________________________________

Shipping Address_____________________________________

City____________________ St._______

Zip________________

Daytime Phone_______ - ________- ______________

E-Mail Address________________________________

MC/V #_______________________________Exp.________

Discover #_______________________________Exp.________

AMEX # ________________________________Exp.________

No Plastic, no problem. Send your payment in the form of a Certified or Cashiers Check to P.O. Box 901 Athens, AL. USA 35612 along with this order copy.

Style # Quantity Size Color Price TOTAL

#__________ _____ _______ _______ $ ________ $____________; #__________ _____ _______ _______ $ ________ $____________; #__________ _____ _______ _______ $ ________ $____________; #__________ _____ _______ _______ $ ________ $____________; #__________ _____ _______ _______ $ ________ $____________; #__________ _____ _______ _______ $ ________ $____________; Sub Total $_______________; Shipping (See Below) $__________________; Total Order $_______________; Shipping Cost; Orders Totaling $0-$9.99 is $5.95
$10.00-$29.99 is $6.95: $30.00-$99.99 is $7.95
$100.00-$299.00 is $8.95: $300.00-$499.00 is $9.95; $500.00-$1000.00 is $10.95; All Orders over $1000.00 receives FREE Shipping.; Fax Completed Order Form To 256-262-0555