Order Form
Name
Company Name
Address
City
State Zipcode
 
Phone Number
Fax Number
Email Address
 
Credit Card Number Expiration Date

Product DescriptionProduct #QuantityItem PriceTotal Cost
Check this box if you are a non-government, California resident
Shipping
Tax
Grand Total
When they click submit, the form will be emailed to you/Karen and the customer will be returned to the first page.  Each of the 25 items will be listed with a name, item number and price and the form will calculate a total for them.
As soon as I have the list of those 25 items I will make the changes to the form and it will be finalized.