FanComm Enterprises Product Order Form
PLEASE PRINT CLEARLY
| Call Toll Free | or Fax Order to | or Mail Order to |
| 1 877 326-8255 | 1 513 697-8250 | 2188 Bridle Ct. Maineville, OH 45039-0007 |
| Bill to Address: | Ship to Address: |
| Name ____________________________________ | Name ____________________________________ |
| Address __________________________________ | Address __________________________________ |
| City_______________State ____ Zip ___________ | City______________ State ____ Zip ___________ |
| Phone (_____) ______ ____________ | Phone (____) ______ _____________ |
| Item # | Quantity | Product Description | Unit Price | Total Price |
| Payment Method: MasterCard _________ American Express _________ Check _________ Visa _________ Discover _________ Account Number _________________________Expiration Date ________ Signature: ________________________________ Please make checks payable to FanComm Enterprises, Inc. |
Product Total | |||
|
6% Sales Tax ** |
||||
| Shipping & Handling | ||||
| GRAND TOTAL | ||||
| ** OH Residents Only | ||||
| Shipping & Handling in the United States |
|
||
| Amount | Reg/Ground | Priority/Air | |
| $50 - $100 | 7.95 | 12.95 | |
| $101 - $200 | 11.95 | 16.95 | |
| $201 - $300 | 13.95 | 19.95 | |
| $301 - $450 | 14.95 | 21.95 | |
| $451 - $600 | 15.95 | 25.95 | |
| $601 - $750 | 16.95 | 28.95 | |
| $751- $1000 | 18.95 | 32.95 | |
Previous editions may be used until depleted!
Copyright 1998 thru 2017 by FanComm Enterprises, Inc., All rights reserved