Three Ways  To Order...

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By Phone: (616) 249-2909
Fax Form: (616) 249-2912 (Print & fax form to us)
Email:  mbau533@sbcglobal.net
              
*fields in Blue are required

ORDERED BY:

Organization:
*Ordered By:

*Billing Address:

*City:
*State:*Zip:
*Phone:                       Fax:

      
*E-mail: 

*Date:    

SHIP TO:  (If same, check here)

Organization:

Attention:

Street Address:

City:
  State:  Zip:
Phone:

Shipping Instructions:

*Do you want Mailboxes Are Us to install this product?
   Yes No   (If yes, please order by phone)


Quantity:
 

Item No:
Description (Give Color Options or Specifications when required)
Unit Price:

Price:
         
Shipping / Handling Charges

Subtotal  Under $50.00 

$50.01-$75.00  $75.01-100.00 $100.01-150.00 $150.01-200.00

*Over $200.00

S & H  $5.00

$9.00 $14.00 $19.00 $24.00

*See note

*For orders over $200.00, If paying by credit card, we will calculate shipping charges, and. 
If paying by check, please call customer service for shipping charges.

METHOD OF PAYMENT                          

Subtotal: $
  Check or Money Order Sales Tax:
(add .06% tax for MI)
$
  Net 30 Days (upon approved credit) Shipping Charge
(see above)
                         
$
  Credit Card Payment
(Please call
: (616) 249-2909
Total Amount $

  Thank you for your order!


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