Quantity Price
Per
Unit
TOTAL
______
$24.95
U.S.
___________
7.5% Sales Tax
(IL Res
Only)
+____________
Sub Total
_____________
S & H (5.00
min)*
+_____________
Total Included ______________
|
|
|||||
| If Book Total is |
$24.95
|
$49.90
|
$74.85
|
$99.80
|
$124.75
|
| Please Add |
$5.00 |
$7.48
|
$7.48
|
$12.48
|
$12.48
|
| If Book Total is |
$149.70
|
$174.65
|
$199.60
|
$224
|
$249.50
|
| Please Add |
$14.97
|
$17.47
|
$19.96
|
$22.46
|
$24.95
|
Check Enclosed/Amount of
$______________________________________
Ship To: (Please Print Very Clearly)
Name________________________________________________________________________
Address______________________________________________________ Apt # ___________
City_________________________________ State____________ Zip___________________
Phone _______________________________________________________________________
E Mail Address________________________________________________________________