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Order Form "Please Print This Order Form" |
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|
| SUB TOTAL | |
| Shipping & Handling (See Chart Below) | |
| NC Residents add, 6.5% Sales Tax | |
| TOTAL of ORDER |
|
SHIPPING & HANDLING CHARGES |
| If your Sub Total is |
Orders To $20. |
$20.01 To $100. |
$100.01 To $150. |
$150.01 To $200. |
$200.01 To $300. |
$300.01 To 400. |
$400.01 To $500. |
$500.01 To $600. |
$600.01 and Up |
| Add this Amount |
$3.50 | $4.00 | $5.00 | $7.00 | $10.00 | $14.00 | $16.00 | $18.00 | $20.00 |
| Ship Order TO: |
|
Full Name |
|
Street # and Name |
| City | State | Zip + 4 |
| ( ) |
|
| Phone # |
Print This Order Form and send to:
Combat Medic Association
PO Box 73806
Fort Bragg NC 28307