Order Form
Name:
Company:
Title:
Address:
Email:
Daytime Phone:
Fax #:
Quantity	Description	WT	Item No.	Color	Price	Total Price
	Total Weight				Subtotal
		Sales Tax (Ohio Residents add 5 1/2 %)
					Shipping
					Total
Payment Method
Check:____  Money Order:_____  Credit Card:_____
CC Type and Number:  (Discover, Amex, MC, Visa)
Expiration Date:
Customer Signature:
Billing Address ( if different than Order Address)
Name:
Billing Address:
City:		State:		Zip Code:
Ship To: (if different from ordering address)
Company:
Attention:
Shipping Address:
City:		State:		Zip Code:
Daytime Phone: