

			10/12/2002

Order Form

Select a product from the drop-down list of a product box. Then push the tab key or click on the qty box. Indicate how many of the item you wish to order. Then push the tab key again. The total amount of you order will be calculated automatically. Fill out the bill to and the ship to section of the form. When you are ready to print use the print option of your browser or push the "ctrl" + "P" keys on your keyboard. After printing the form mail it with your payment to:

250 W. Pickett Creek Road
Grants Pass, Oregon 97527.

Then press the submit button (optional). That will notify us of your pending order so we can have it ready.

Allow 4 to 6 weeks for delivery.

Product	Qty	Unit Price	Subtotal Price





Grand Total:

Bill To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Ship To
Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

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This page created by Bill Brown
e-mail at brownw@sou.edu