ORDER FORM (Press your browser's PRINT button to print this order form.)
| Name: |
Please charge this order to MY (circle one if paying by credit card): DISCOVER | VISA | MASTERCARD | AMERICAN EXPRESS |
| Mailing Address: | Card Number: |
| Shipping Address: | Expiration Date: |
| City, State, Zip: | Signature: |
| Phone: | Order date: |
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ITEM # |
DESCRIPTION OF ITEM |
PRICE EACH |
HOW MANY |
TOTAL |
|
| 1 | 1 | 1 | 1 | $ | |
| 2 | 2 | 2 | 2 | $ | |
| 3 | 3 | 3 | 3 | $ | |
| 4 | 4 | 4 | 4 | $ | |
| 5 | 5 | 5 | 5 | $ | |
| 6 | 6 | 6 | 6 | $ | |
| 7 | 7 | 7 | 7 | $ | |
| 8 | 8 | 8 | 8 | $ | |
| 9 | 9 | 9 | 9 | $ | |
|
|
TOTAL OF GOODS |
$ | |||
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Order Total Shipping $0 to $20.00 $7.00 $20.00 to $39.99 $8.00 $40.00 to $59.99 $9.00 $60.00 to $79.99 $10.00 $80.00 to $99.99 $11.00 $100.00 and up $12.00 |
CA Residents add 7.75% sales tax. |
$ | ||
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Shipping |
$ | ||||
|
TOTAL |
$ | ||||
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Thank you for your order! |
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ORDER BY PHONE: Call us with your order TOLL FREE at 1 - (800) 900 - 6463 or (760) 948 - 3333.
fax 760-948-3456
ORDER BY MAIL: Mail your order to:
The Lifestyle Store.
10180 'I' Avenue. Hesperia, California (USA) 92345
Shipping Information