| |
| Method: |
|
| CC #: |
************ |
| Exp. Date: |
01/0 |
| Code: |
|
| Date Paid: |
|
| Comments: |
|
|
| |
| Sub-Total: |
$975.00 |
| Shipping: |
50.00 |
| Tax: |
0.00 |
| Grand Total: |
$1025.00 |
Note:
International Shipments may incur Brokerage charges and
Custom Duty Taxes that are the responsibility of the Purchaser. These
amounts will be due on receipt of the purchased item. |
|