Order Form
Products Catalog - Order Form Page: 1
Use this form to place your order. Just print out, fill in all the
necessary information and then send to the
address below with your check or money order made payable to C. J.
Tustison Assoc.
Customer Information
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Name________________________________ |
Telephone(daytime)__(______)________________ |
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Mailing Address________________________ |
Telephone(evening)__(______)________________ |
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City/State/Zip__________________________ |
Email____________________________________ |
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Item # |
Qty |
Item Description (incl Size/Color) |
Price |
Total Price |
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Merchandise Total |
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Wisconsin residents pay 5.5% sales tax |
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Delivery Charge (see chart below)* |
_____________________________ |
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TOTAL |
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Please make checks or money order payable to: |
Delivery Charges: For orders totalling: |
Add |
|
C. J Tustison Associates |
up to $3.99 |
$1.80 |
|
P.O. Box 426 |
$4.00 to $9.99 |
$4.50 |
|
Lone Rock, WI 53556 |
$10.00 to $49.99 |
$8.50 |
|
$50.00 to $99.99 |
$12.50 |
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$100 to $199.99 |
$25.00 |
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$200.00 to $299.99 |
$40.00 |
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Phone: (608) 583-2056 (Monday-Friday, |
For orders $300 and higher, request rates by calling or sending an email. |