QTY	DESCRIPTION	PRICE	TOTAL
	TOTAL
	WA Residents add 8% Sales Tax
	Shipping cost vary due to amounts order and weight.  We will add shipping charges.  If you wish to call ahead you may do so. For outside Continental U.S., please call for information.  509-548-5963
	TOTAL DUE

 

	BILLING
Credit Card	VISA MasterCard American Express Discover
Cardholder Name
Card Number
Expiration Date

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

If items are to be shipped different address then above please provide the following shipping information:

	SHIPPING
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country