Its A Black Thang.com Mail Order Form
Print this form then click the "Buy Me" button beneath the
items you want to purchase and fill out the form. Use the shipping chart to determine the shipping
cost. You can pay by
money order, check, credit card, or debit card.
| Item Number | Qty | Description | Price | Total |
| Shipping & Handling Chart (match your order total with the shipping amount) | Sub Total: $ |
| up to $7.95 = $5.00 | $7.96 - $19.99 = $6.50 | $20.00 to $28.00 = $7.50 | Shipping & Handling: $ |
| $28.01 to $49.94 = $10.50 | $49.95 to $74 = $12.50 | $74.01 to $100 = $13.50 | Total: $ |
| $100.01 to $150 = $16.50 | $150.01 to $200 = $19.50 | $200.01 to $250 = $22.50 |
| $250.01 to $300 = $25.50 | $300.01 to $350 = $28.50 | $350.01 to $400 = $31.50 |
| $400.01 to $500 = $34.50 | $500.01 to $750 = $38.00 | $750.01 to $1000 = $41.00 |
| $1000.01 to $1500 = $55.00 | $1500.01 to $2000 = $65 | $2000.01 to $2500 = $75 |
Name: _____________________________________ Address: ___________________________________ City: _______________________________________ State: ____________________ Zip: ___________ Phone: ___________________ Fax: ______________ Email:______________________________________ |
Ship to
Address: (if different than billing address) Name: _____________________________________ Address: ___________________________________ City: _______________________________________ State: ____________________ Zip: ___________ Phone: ___________________ Fax: ______________ Email:___________________________________ |
| Method of Payment: [ ]
Check [ ] Money Order [ ] Visa [ ] MasterCard [ ] American Express [ ] Discover Credit Card Num: |
Make check/money order
payable to: Kanes Publications Mail to Kanes Publications P.O. Box 1206 Valrico, FL 33595
|