order_form

ORDER FORM
(For Cash, U.S. Money Orders, & International Money Orders)

All payments must be in U.S. Dollars.

Item # QTY Item Name Size Color Total
Price

SHIPPING Subtotal $

U.S. (All 50 States)
FREE
All APO/FPO are also free. Shipping Costs $
(Please see
box on left)

International
Price Varies, please contact us for the correct amount
If you live in Mexico, please add an additional $7.50 for Registered Mail TOTAL AMOUNT $
(U.S. Funds Only)

Please Ship above item(s) to this address:

Your Name

Street Address Reichslieder
PO 702924
Tulsa, Oklahoma 74170-2924
USA

City Pay By Mastercard/Visa
Name on Card:

Card Number:

Exp. Date:

Please include your billing address (in the box below) if it is different from the shipping address.

State/Province Billing Address:
Street Address:
City:
State:
Zipcode:
Country:

Zip/Postal Code Please note: You may want to consider mailing
your payment by certified, registered, or return receipt.
This is for your protection and ensures
that your payment has been received safely.

Country

Email Address

SHIPPING	Subtotal $
U.S. (All 50 States) FREE All APO/FPO are also free.	Shipping Costs $ (Please see box on left)
International Price Varies, please contact us for the correct amount If you live in Mexico, please add an additional $7.50 for Registered Mail	TOTAL AMOUNT $ (U.S. Funds Only)

Please Ship above item(s) to this address:
Your Name
Street Address	Reichslieder PO 702924 Tulsa, Oklahoma 74170-2924 USA
City	Pay By Mastercard/Visa Name on Card: Card Number: Exp. Date: Please include your billing address (in the box below) if it is different from the shipping address.
State/Province	Billing Address: Street Address: City: State: Zipcode: Country:
Zip/Postal Code	Please note: You may want to consider mailing your payment by certified, registered, or return receipt. This is for your protection and ensures that your payment has been received safely.
Country
Email Address