| To order, print a copy of this form, fill it out and mail it to us or call or fax us at 406-827-7625. NOTE: Please include your e-mail address so we can contact you about your order if necessary. Thanks. |
To submit your order to us, you may call, fax or e-mail us. Please provide all information requested in the form below.
| Name: | Date: | ||||
| Address: | City: | State: | Zip: | ||
| Phone: ( ) | e-mail: | ||||
| Item # | Description | Price ea. | Quatity | Amount |
| SUBTOTAL | $_________ | |
| Shipping: The cost of shipping your order will depend on your country, the weight of your order and the shipping method used such as ground versus air delivery. When we receive your order, we will determine how much the shipping and handling cost will be by various available methods and inform you via e-mail about your options. Be sure to include your e-mail address in the space provided above. The amount of postage you will be charged will be calculated using the US Postal Service International Rate Calculator. | SHIPPING | $_________ |
| HANDLING: The handling charge covers items such as boxes, packing material and the labor involved in preparing your shipment. | HANDLING | $_________ |
| TOTAL | $_________ |
| My Check/Money Order is Enclosed ___ | ||||||
| Charge My: MC ___ VISA ___ | Card #: _______ - ________ - ________ - ________ | |||||
| Exp Date: _____________ | ||||||
| Authorized Signature: ____________________________________________ | ||||||