|
Use your credit card to order by phone +515.229.1991 or 515.963.0161 (9-5 CT).
Or fax +515.965.0267 anytime.
Or mail to:
ScandiStyle™ Design — 317 NW Crestview DR — Ankeny, Iowa 50023 USA
|
|
|
Ordered by (print Name, Street (plus apartment or other number), City, State/Province, Zip/Postal Code, Country)
|
Day phone: area code, number, extension
_______-__________-______________
Fax number: _______-__________-______________
Email address:
___________________@_________________________
|
|
|
Delivery Address: (use for delivery destination if different from above)
|
Payment method: check/money order: $________
__Visa __MasterCard Expires: __Month _____Year
Credit card #: _____-______-______-_______
Signature:
|
|
|
Product Number
|
Quantity
|
Description
|
Color / Style
|
Price Each
|
Total
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
Subtotal:
|
$ |
|
6% sales tax (plus any local option tax) for Iowa orders only:
|
|
|
|
Shipping/handling (USA lower 48):
|
|
|
|
Rush ($8 additional):
|
|
| |
|
Ship to each additional address:
|
|
| |
|
Order Total:
|
$ |
|
Charges for first delivery address (USA lower 48).
Other destinations, please inquire.
|
Total price of items
|
Shipping & handling
|
|
under $25
|
$5.95
|
|
$25.01 - $50
|
$6.95 |
|
$50.01 - $100
|
$8.95 |
|
$100.01 - $150
|
$10.95 |
|
$150.01 - $225
|
$13.95
|
|
$225.01 - $300
|
$14.95
|
|
$300.01 and up
|
$15.95
|
|
Each additional address add $4.25
|
| Order Date: _______/________/200___ |
ss209
|
|