MAIL/FAX ORDER FORM PRINT-OUT
(Please use this form only if you are going to mail or fax your order to us.)
| MAIL ORDERS TO: | FAX ORDERS OR EMAIL TO: |
| JLM Connections, Inc. P.O. Box 580020 Pleasant Prairie, WI 53148 Toll Free Phone 1-800-757-5246 |
Email: jlm33@acronet.net |
| Quantity | Description | Price Each | Sub Total |
| Sub Total | |||
| (see chart below) Shipping & Handling | |||
| If WI Resident (add 5.5%) Sales Tax | |||
| Total | |||
Payment must be received before the product can be shipped. Most orders shipped in 24 hours. |
|||
| U.S. Shipping and Handling | ||||
Orders shipped US Priority with tracking unless shipped Express |
Under $10.00: | $5 | ||
| $10.01- $25.00: | $6 | |||
| $25.01-$60.00: | $8 | |||
| Express Shipping Additional | $16 | |||
Bill To:
|
Ship To:
 Same As
Billing Address
|
| Checks, Money Orders, Or Cashier's Checks | |
| Please make payable to: JLM Connections,Inc Visa_____ MC_____MO_____ Check_____ | |
| Card #: | _________________________ |
| Exp: | _________________________ |
| Name: | _________________________ |
| Signature: | _________________________ |
| (Required) |