| CAT.ID# | QTY. | DESCRIPTION | COST PER | TOTAL |
| ________ | ________ | __________________ | ________ | _____________ |
| ________ | ________ | __________________ | ________ | _____________ |
| ________ | ________ | __________________ | ________ | _____________ |
| ________ | ________ | __________________ | ________ | _____________ |
| ________ | ________ | __________________ | ________ | _____________ |
| ________ | ________ | __________________ | ________ | _____________ |
| Shipping address if different then below | Sub-Total | _____________ | ||
| Delivery | _____________ | |||
| WA state add 8.6% | _____________ | |||
| Total | _____________ | |||
Credit card and/or shipping information:
| Name_________________________ | (Please circle) Visa - Mastercard - Discover |
| Address________________________ | Card#______________________________ |
| _____________________________ | Exp.Date_______________ |
| Zip Code______________________ | Card Holder__________________________ |
| e-mail________________________ | Print exact name as shown on card |
| ph.#__________________________ | Signature____________________________ |
| 0-$20.00 | $6.25 |
| $20.01-$30.00 | $7.50 |
| $30.01-$40.00 | $8.95 |
| 40.01-$50.00 | $9.95 |
| $50.01-$75.00 | $12.95 |
| $75.01-$100.00 | $14.95 |
| $100.01-$150.00 | $16.95 |
| $150.01-$200.00 | $18.95 |
| $200.01-250.00 | $21.95 |
| $250.01-up | $24.95 |