Merchandise Order Form

QTY Item # Item Description Size Unit Price Total
  Subtotal
Add 8.25% Tax Texas Residents Only
Shipping & Handling Fee:
Additional Shipping Fees:
Total (U.S.) Funds):
***For any order exceeding 3 items $2.00 Per Item to your total 
Add $18.50 for International Shipping Fees
Check One
Name (as appears on credit card):
Billing Address:
Phone Number:
Card #
Exp Date