Antenna Ball World: Check Ordering Form

To pay by check Click Here to Print this form mail it to Antenna Ball World 1141 Catalina Drive Suite #157; Livermore, CA 94550
Faxed checks will not be accepted.

Ship To:

Name:_______________________________ Phone:(      )_______-______________
Address 1:__________________________ E-Mail:_____________________________
Address 2:__________________________
City:_________________State:________
                 Zip Code:__________

Shipping Information:

    Order Total     | Shipping Cost
 -------------------+--------------
    $0.01 -   $9.99 |    $4.50
   $10.00 -   49.99 |    $5.50
   $50.00 -   99.99 |   $12.50
  $100.00 - $199.99 |   $18.50
  $200.00 and over  |   $22.50

Please add US$2.00 to Canadian Orders

Mail orders to:

Antenna Ball World
1141 Catalina Drive Suite #157
Livermore, CA 94550
USA

	Description	Quantity	Price	Total
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9
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15
			Subtotal	_____
	8.75% sales tax for CA state residents.		Sales Tax	_____
	Canadian residents add an additional US$2.00. to shipping. Please Check the Above Shipping table for rates.		Shipping	_____
			Total	_____