ORDER FORM

ST. PETE BLUE
Post Office Box 425
St. Petersburg, FL 33731-0425
(727) 822-3652 • FAX (727) 322-5375

JUST PRINT THIS FORM, FILL IT OUT, AND MAIL IT
(Make check or money order payable to ST. PETE BLUE)
OR FAX IT
OR E-MAIL US
(tell us what you want, and we'll e-mail the total to you.)

SHIP TO: _____________________________________________________________
____________________________________________________________________
____________________________________________________________________
Acct No.________ Phone: (_____) ___________ E-mail: ________________________
Credit Card #: _________________________________________________________
Card Expiration Date:_____________ VIN # (usually 3-digit # on back of card): ______________
Signature: ____________________________________________________________
Print Name (as shown on card): _______________________________________________

SELECTION

Qty.

 Stock #

Description

Unit price

Extension

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Shipping Charges

$0.00

-

49.99

=

$4.75

50.00

-

74.99

=

7.50

75.00

-

124.99

=

9.75

125.00

-

199.99

=

12.50

200.00

+

up

=

18.50

(within continental US)
THIS IS A GUIDELINE!
Certain items may cost more to ship depending on size and weight of item. In such cases, you will be notified before shipping of an increase in shipping costs.

(figure shipping charges from this amount) Sub-total

__________

Florida residents and businesses add 7% Sales Tax

__________

Shipping

__________

Total

__________

If you wish overnight services, please provide us with your preferred courier
(Airborne, Federal Express, etc.) account #.
Or we will use our choice, prepay and add to invoice.


Order form in Adobe Acrobat PDF format

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