On-line Ordering Form

This order form can be printed and mailed or faxed.
1-530-534-9956    FAX 1-530-534-1170

Full Name:
Address:
City:
Zip Code:		State:		Country:
Email:
Telephone:	(Required to help expedite order)
Fax:

Item	Quan.	Description	Price Each	Total Price
1
2
3
4
5
Merchandise Total
California Residents Add 8.25% Sales Tax
Shipping Charge Total
Grand Total

Credit Card:	Master Card VISA Discover American Express	Expiration Date:
Account Number:
or

You can place your order by phone: 1-530-534-9956.  Please have your credit card handy.