Mail order form

Mail Order Form

Print this and then fill out. We suggest that you double check shipping charges, tax if applicable and total cost. New York State residents need to add 8.625% tax to their order after shipping charges. All information is confidential and not sold.

Your full name _____________________________________________________

Mailing address ___________________________________

________________________________________________________________________

Phone number ____________________________________

E-mail address ____________________________________

Referred by

Products	Quantity	Unit Price	Total Price


Rush order additional $15 for continental USA orders only.

For all orders inside the USA please add $8.85 shipping & handling
New York State Sales Tax 8.625% if you live in NYS (including shipping charges)
For all orders outside the USA please add $13.85 shipping & handling
Grand total

If you need more room for your order, you can continue it on another piece of paper.
Make all money orders out to:

Deak, LLC PO Box 578 Bellport, NY 11713	We do not accept checks
	If you have any questions please contact us