Not comfortable ordering online? Get your order in quick, without giving out
payment information over the internet. Simply fill out the following form, and
it will be sent immediately to our web sales department. You will be contacted
concerning payment information.
Please fill in the following. DO NOT send your credit card information with this form.

    Use this method for Quick Service!

Name:  

Address 

City

State:     Zip  

Province:    Country:

Email Address 

Phone              Fax
 include area code; example:5173672787

Order:

Item #  Description  Quantity Price

Item #  Description  Quantity Price

Item #  Description  Quantity Price

Item #  Description  Quantity Price

Item #  Description  Quantity Price

Item #  Description  Quantity Price

Item #  Description  Quantity Price

Item #  Description  Quantity Price

 

Discount Code Number

Shipping Costs

Under $30...................$10.94
$31-$50........................$12.89
$50-$100......................$13.88
$101-$200....................$19.99
$201-.$299...................$27.75
$300-$499................... $29.89
$500 and over Free Shipping in the continental US only

 

Express and Next Day delivery charges are extra.

 

To place an order, you may call us at 800-778-0508  OR print off this page and fill out the order form,which may be faxed to 517-367-8888 , or mail it along with your payment.

Mail to: 1305 S. Cedar St. Suite 103 Lansing, MI 48910