PlumbingWorld.com - Printable Order Form - Please print very clearly

Name:


 Date:

Shipping Address:




 Billing Address (if different):
Email (please print clearly):

 Day Phone:

 Fax:
Please check here if you're a returning customer: [   ]

Payment Method:
[  ]VISA, [  ]MasterCard, [  ]Discover, [  ]Money Order, [  ]Check # \
C.C. Expiration: CreditCard#: Security Confirmation Numbers:
For information regarding the location of your credit card's Security Confirmation Numbers, please see www.PlumbingWorld.com/verify.html.
If the name or address where your credit card statement is sent is different from shipping address above, please enter that info below:




I have read and agree to your return policy:   X__________________________________


Shipping Method:
[ ]Ground, [ ]2ndDay*, [ ]Priority Mail*

QtyDescription/Model#Cost Ea.Total
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
Product Subtotal:  
Shipping - $999.99 or less is 8%, $1000 to $1999.99 is 5%, $2000 to $4999.99 is 2%, $5000 or more is FREE:  
U.S. Priority Mail or 2nd Day Upgrade (we will add):  
Processing - Under $20 is $6.75, $20 to $49.99 is $4.75, $50 to $99.99 is $3.50
orders $50 or more processing is FREE: 		 
Subtotal:  
California Residents add 8.25% Sales Tax:  
Total:  

For orders shipping to locations outside of the continental U.S. (Alaska, Hawaii, U.S. Territories),
our standard shipping rates apply or actual shipping costs will be added, whichever is higher.

PlumbingWorld.com, 994 East 20th St., Chico CA 95928
Fax: 530-891-0654; Phone: 530-891-6191, CreditCard: 530-891-1556
Email: Email@PlumbingWorld.com / Return Policy / FAQ's
* Note: Shipping methods other than standard Ground cost more.

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