PLEASE
PRINT OUT THIS ORDER FORM TO SEND US YOUR ORDER.
We are not at this time accepting on line orders.
Send this order to:
Blue Ribbon Specialties
2261 280th St.
Greene, Iowa 50636
Ship To:
Date: ________________________
Phone: ________________________
Email: ________________________
| Qty | Item#/Description | Style | Color | Size | Price | Total | |
|
SHIPPING
RATES
|
|
| Under $30.00 | $ 7.50 |
| $30.01-$50.00 | $ 8.50 |
| $50.01-$80.00 | $ 9.50 |
| $80.01-$100.00 | $ 10.50 |
| $100.01-$150.00 | $14.00 |
|
Over $150 Call For Rate
|
|
|
CANADA ADD $3.50
|
|
|
NO COD
|
|
Shipping & Handling
Subtotal
IA SALES TAX
Total
Sales Tax County Of Residence ______________
In City Limits? ____yes ____ no
|
|
|
|
|||||||||||||||||||
|
|
|
||||||||||||||||||||
|
Credit Card Number
|
|||||||||||||||||||||
|
Expiration
Date |
_________________________________ |
||||||||||||||||||||