Direct Order Form

Note: this is not a secure site, if you feel uncomfortable e-mailing your credit card number give us a call at 1-800-368-1822. Then just tell us your last name, phone number, credit card number, and that you sent the order by internet. We will keep your credit card number on file for future orders unless otherwise requested.
(If you have ordered before you only need to complete Name, Zip Code, e-mail address, and Phone #)

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Name
Address
Address
City
State
Postal Code
Country
Phone Number
E-mail Address
Payment Info	Mastercard Visa C.O.D. ($5.50 fee) Card number is on file. Will Call with info.
Card Number	Ex:
Shipping Method	Cheapest Way Fastest Way US Mail (<10 oz) Priority Mail (<3 lbs) UPS Ground UPS 3 day UPS 2nd day UPS Next day Air Mail (foreign) Surface Mail (foreign) Other, Note in Text Box

Enter: Qty - Item# - Description below.