Shipping (based on Cover Total): |
| $ 0.01
- $24.99 = |
$5.95 |
| $
25.00 - $29.99 = |
$7.95 |
| $
30.00 - $49.99 = |
$9.95 |
| $
50.00 - $74.99 = |
$10.95 |
| $
75.00 - $99.99 = |
$12.95 |
| $
100.00 and up = |
Call for Rates |
| SHIP
TO: |
| __________________________________ |
| __________________________________ |
| __________________________________ |
| __________________________________ |
|
COVER
TOTAL |
$_______ |
| SHIPPING
(From Chart) |
$_______ |
| INTERNATIONAL
DELIVERY FEE |
$_______ |
| $11.00 or $22.00
if applicable |
|
| INSURANCE
(Optional) |
$_______ |
| add
$2.15 |
|
| SUBTOTAL |
$_______ |
| MI
RESIDENTS ADD 6% SALES TAX |
$_______ |
|
ENCLOSED
PAYMENT AMOUNT
|
$_______ |
|
