Please fill out all sections of this form and mail (to address below) or FAX it back to us at 1-707-765-6051 we will process your order. All information is kept confidential.:
All prices in US $ dollars
First and Last Name:_______________________________________________
Street.:_________________________________________________________
City:___________________________________State:_____Zip____________
Country:________________________________________________________
Email Address:___________________________________________________
Do you want to be on our emailing list to receive the stamping updates?
( ) Yes ( ) No
Phone:_________________________________________________________
FAX Number.:___________________________________________________
Visa exp date_______ Master Charge exp date______ Discover exp. date_____
Credit Card #______________________________________________
Signature_________________________________________________
Item number_______________ Item Name______________ Price___________
Item number_______________ Item Name______________ Price___________
Item number_______________ Item Name______________ Price___________
Item number_______________ Item Name______________ Price___________
Item number_______________ Item Name______________ Price___________
*(1/15/09)*******************Sub Total___________________________
************California Residents add 7 .50% sales tax___________________
For shipping and handling see below: then add here:_______________________
Total Charges____________________________________________________
Print this page and fill out the needed information and FAX the form to 1-707-765-6051 or mail this form to Sierra Enterprises, P.O. Box 5325 Petaluma, CA. 94955
Shipping and Handling Prices:
Up to $25.00 add $6.00 / $25.00 to $35.00 add $8.00 /$35.00 to $50.00 add $9.00 / $50.00 to $75.00 add $10.00 /Over $75.00 add $12.50
Overseas, add *$9.00 to the above rates.(*this is not Airmail )
Prices are subject to change without notice. 5/08
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