Secure Order Form				Prices are in USD.
Item	Price	Quan.		Price	Quan.
17 inch (4 per pack)
Blue	9.95		Red	9.95
Black	9.95		Yellow	9.95
34 inch (2 per pack)
Blue	9.95		Red	9.95
Black	9.95		Yellow	9.95
68 inch (1 per pack)
Blue	9.95		Red	9.95
Black	9.95		Yellow	9.95
Shipping:	Subtotal
1 item: $3.00, 2-5 items: $5.00	Shipping
6-8 items: $7.00, 9+ items: $11.00	Total

Billing Address
First Name:
Last Name:
Address:
City:		State/Prov:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -- AB BC MB NB NL NS ON PE QC SK NT YK NU	Zip/Postal Code:
Phone:		E-mail:
Shipping Address (Leave blank if same as above)
First Name:
Last Name:
Address:
City:		State/Prov:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NL NS ON PE QC SK NT YK NU	Zip/Postal Code:
Phone:
You will be re-directed to Moneris to process this transaction.

All prices are in USD.
We accept VISA and Mastercard only.
Please provide a street address. We do not ship to P.O. Box. Addresses.
All orders are shipped by FedEx ground within 3 business days.
Return/Refund Policy