Buyer Information: First Name: Last Name: Address1: Address2: City: State: Zip: Phone: E-mail:

Payment Method: PayPal Money Order Certified Check		Please add me to your mailing list: Yes No
Item Number:
Item 1:	Item 2:	Item 3:
Purchase Price:
Item 1:	Item 2:	Item 3:

Please provide details about your order below. Be sure to include the name of the item you wish to purchase,
and if you've already been given a cost for shipping and insurance, what that cost was. If not, we'll contact you
in a day or so with a shipping and insurance cost, and you can arrange payment at that time. If you have any
questions about shipping, please see our shipping rules.

Details: