Bolines LLC
6
Phone 1-888-214-3819
Print this page, fill out the form and mail it to us at the address below.
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Order Form
Ship to: Name:___________________________________
Street Address:__________________________________
City:___________________________________________
State:_______ Zip:_________________
Phone: ( _____ ) __________________________
Email: __________________________________
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Total Price |
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Shipping and Processing Charges within the continental
United States: Orders up to $25, add $6.00, up to $50.00 add $11.00, up to
$75.00 add $13.00, up to $150.00 add $17.00, up to $300.00 add $20.00, and
over $300.00 add $30.00. |
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Illinois Sales Tax (6.25%) |
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Most orders will be shipped within a week after we receive it. We accept: Checks or Money Orders, Discover, Master Card, or Visa. Thanks for your order. We appreciate it.
____Check or Money Order Enclosed
____Credit Card: ____Discover, ____Master Card, or ____Visa
Card Number: __ __ __ __- __ __ __ __- __ __ __ __ -__ __ __ __ Exp. Date______________ Security Code_________ (last 3 digits above your signature)
__________________________________ Signature Required
Cardholder Address if Different Than Above:_______________________________
DO NOT SEND CREDIT CARD INFORMATION TO US THROUGH EMAIL!