Shipping Address - PLEASE PRINT CLEARLY

First Name _____________________ MI_______ Last Name ___________________________

Company Name________________________________________________________________

Street Address_________________________________________________________________

City, State, Zip_________________________________________________________________

Telephone No. _____________________________Fax No. _____________________________

Quote Request - PLEASE CIRCLE ONE

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Qty______ Price___________ Description_________________________________ Total_______________

Total ___________________________________________

California Sales Tax 8.25% __________________________

Shipping ________________________________________

Handling ________________________________________

Total ___________________________________________

Grand Total ______________________________________

Shipping & Handling Fees*: .
Shipping within the (48) USA - excluding Special & International Orders.
Up to $299.99: $14.95...$300-$799.99: $24.95. $800-$1499.99: $39.95, $1500-$1999.99: $54.95.
. $2000and up: Free
*See the Order page for additional terms and conditions.
*INTERNATIONAL SHIPPING
PLEASE NOTE THAT THE PRICE QUOTED FOR SHIPPING TO YOUR COUNTRY WILL NOT INCLUDE ANY DUTIES OR CUSTOMS CHARGES THAT WILL BE CHARGED BY YOUR COUNTRY. WE CAN NOT QUOTE DUTIES OR CUSTOMS CHARGES FOR YOU. WE WILL NOT UNDER ANY CIRCUMSTANCES ACCEPT RETURNS RELATING TO UNPAID OR REFUSED DUTIES OR CUSTOMS CHARGES. IF THE ITEM COMES BACK TO US, YOU WILL BE RESPONSIBLE FOR PAYING POSTAGE TO HAVE THE ITEM REDELIVERED.