|
|
Bungee Bitch® Strap OrderForm
Bungee Bitch® Strap,
561 Brooks Road,
Castle Creek, NY 13744
|
ORDERED BY:
|
SHIP TO:
(Only if different from "Ordered By")
|
Name
___________________
Addr1
___________________
Addr2
___________________
City
___________________
State
____
Zip
_______
Phone
(___)______________
|
Name
___________________
Addr1
___________________
Addr2
___________________
City
___________________
State
____
Zip
_______
|
|
|
Qty.
|
Item Description - List type
|
Size
|
Price Ea.
|
Total
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Freight Included in continental United States and Canada. Currency is USD.
To inquire about freight rates elsewhere, please
click here to email us.
**According to NYS law, sales tax must be included.
*Make Money Order/Personal Check Payable to "Bungee Bitch"
|
Merchandise Amt:
|
|
|
Freight and Handling:
|
Included
|
|
NYS Residents add 8% sales tax**
|
|
|
Total:
|
|
|
|
|