Ship To :

Name

Bill To :

Address City / State / ZIP Phone Number ( ) e-mail :

List Merchandise ( Please Print Clearly ) Item # Qty . Description Color / Size Price Total Amount

Name

Address

City / State / ZIP

Do you know someone who would like our catalog ?

Merchandise Total Sales Tax

( if applicable )

Shipping Total Amount

Guarantee : Every product you buy from this catalog must be free of defects or you may return it immediately for replacement .

Product measurements may not be exact . Sizes shown are close approximations . Photographs are of the products available at the time of printing . Products may be updated , or models of equal or better value may be substituted . Product depictions on packaging may vary slightly from the actual product because of updating , or because several models of a product are packaged in one style box . Prices and items are periodically subject to change . We reserve the right to correct typographical , descriptive and photographic errors . Orders based on incorrect information are subject to cancellation .

sThe products in this catalog meet applicable FDA requirements . The following notice is provided in compliance with California Proposition 65 , and applies only to the specific items noted . WARNING : This product contains chemicals known to the State of California to cause cancer , birth defects or other reproductive harm .

28

Freight charges apply within the continental United States . Orders shipping outside the continental United States may incur additional charges .

Contact seller for more details .

MO

Enclosed is the full amount of my order $______________________ Paid by : ( Check one please )

q Personal Check q Money Order q Certified Check ( Make checks payable to addressee on top of order form )

CHARGE this order to my : o Mastercard o Visa o American Express o Discover Card Number _________________________________________________________________

Expiration Date ____/____ Signature ____________________________________________

YR

( required )