Hugegrins LLC  Printable Order Form

Name:

____________________________________________

Street:

____________________________________________

City, St, Zip

____________________________________________

Phone:

____________________________________________

 

Payment (Circle One): Money Order    Cash    Credit card

Please allow 2 to 4 weeks for delivery. Usually faster!

Card type (Circle One):  Visa MC Dis Amex

Expiration Date:                        Security Code:

Amt. enclosed: 

Acct #: 

Signature:

 

ITEM #

DESCRIPTION

 

QTY.

PRICE/ITEM

TOTAL AMOUNT

 094922610782

Portable Vaporizer

 

  $19.99

 

Make check payable to Hugegrins and mail to:
To whom it may concern
PO BOX 436

Tracy, CA 95378
Phone: (877) 420- GRIN
Fax: 209-221-8921
E-Mail: info@hugegrins.com
Website: http://www.hugegrins.com

Product Total (A)

 

Shipping - see chart below (B)

 

Cash Discount - 2% of A (C)
Only Applicable for  cash

 

CA residents add 7.75% (D)

Or include a copy of sellers Permit

 

TOTAL (A+B-C+D)

 

Thank you for your order!

           

 

3 or more units get FREE SHIPPING! US Only
U.S. Shipping Rates for Paid Orders:
(including U.S. Territories)
 $5 per unit

Canada Air Mail - $10 USD  for up to 3 units No free shipping available
Foreign Air Mail - $12 USD  for up to 3 units No free shipping available

Special instructions:

 

Please be assured your order will be immediately processed