PlumbingStore.com - Printable Order Form - Please print very clearly

Name:


 Date:

Shipping Address:




 Billing Address (if different):
Email (please print clearly):

 Day Phone:

 Fax:
Please check here if you're a returning customer:[   ]

Payment Method:
[  ]VISA, [  ]MasterCard, [  ]Discover, [  ]Money Order, [  ]Check #
C.C. Expiration:


 CreditCard#:


 Security Confirmation #:
For information regarding the location of your credit card's Verification Code, go to www.PlumbingStore.com/verify.html.
If the billing information is different from shipping address above, please enter it info below:




I have read and agree to your return policy:   X___________________________________


Shipping Method: [ ]Ground, [ ]2nd Day Air *, [ ]Priority Mail *

Qty Description/Model# Cost Ea. Total
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
Product Subtotal:  
Shipping - orders with a product subtotal of $999.99 or less is 8%, $1000 to $1999.99 is 6%, $2000 to $4999.99 is 3%, $5000 or more is 1%:  
U.S. Priority Mail or 2nd Day Upgrade (we will add):  
Processing - Under $20 is $6.75, $20 to $49.99 is $4.75, $50 to $99.99 is $3.50
orders $100 or more processing is FREE:		  
Subtotal:  
California Residents add 8.25% Sales Tax:  
Total:  

For orders shipping to locations outside of the continental U.S. (Alaska, Hawaii, U.S. Territories),
our standard shipping rates apply or actual shipping costs will be added, whichever is higher.

PlumbingStore.com, 994 East 20th St., Chico CA 95928
Phone: 530-891-6143; Fax: 530-891-0654; CreditCard: 530-891-1556, E-mail: info@PlumbingStore.com
Our Return Policy: www.PlumbingStore.com/returngoods.html - FAQ's: www.PlumbingStore.com/questionsandanswers.html
* Note: Shipping methods other than Ground cost more.

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