Note* Shipping charges are estimates only. Final charges will be assessed after package has been weighed and measured.    To submit an order, please print this form and fax to: 206-333-1259  Please allow 7 to 10 days for shipping.  Items Ordered:   Item Title Texture If Applicable Length Color Quantity Price                                                                             Total   Plus $2 Per Item for Shipping & Handling   Plus an additional $10 to have items shipped by private carrier    Total     For more items, please print and include a second form.   Customer Information   *First Name ________________________ *Last Name ________________________ Company     ________________________ *Email         ________________________ Phone          _________________________   Credit Card Information   *Card Type  ________________________ *Cardholder’s Name As Shown On Card  ___________________________________ *Card Number ______________________ *Expiration Date (mmyy)  ____ / ____ *3 Digit Security Code   _______________   *Required fields. Billing Address   *Address Line 1  ______________________ *City  _______________________________ *State/Province _______________________ *Country _____________________________ *Zip/Postal Code ______________________   Shipping Address (if different from billing address)   Ship To Name __________________________ Address Line 1 __________________________ City __________________________________ State/Province __________________________ Country _______________________________ Zip/Postal Code _________________________