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    Mail to:                                                                                                                                         Order Date:_______________________

Silk Road Trading Concern
2410 Arizona St		   ORDER FORM
 
Hutchinson, KS 67502-5150  

ORDER BY CALLING (620) 680-0060
FAX NUMBER: (805) 426-0926
 
Your Name: ______________________________________________________________
Your Address: ______________________________________________________________
Your City/ST/ Zip: ______________________________________________________________
Your Phone: ______________________________________________________________
Your E-mail: ______________________________________________________________
  Just in case we have questions about your order.
 
Qty. Item # Description Unit Price Total
 
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    Shipping Charges: UPS Ground Sub Total
 		 ______________
    Order Amount.....................Charge Tax ______________
    Under $25.00......................$ 6.50 Freight ______________
    $25.01-$99.99......................$ 7.00 Balance Due ______________
    Over $100.00.......................$ 9.00   Kansas Residents add
7.05 % Sales Tax
       
 
Payment Method:
 Ordered By: __________________________________  /____________________________________

                                                      

                                 (please print name)  /                                  (signature)
____


*Shipments can only be sent to your PayPal verified address

 
When we receive your credit card order we will convert it to a PayPal
invoice and then PayPal will email it to you.
This is a very simple and secure procedure -- you just click the link on
the email and enter your payment information on PayPal's  website*.
 
____
Money Order or Cashiers Check made out to SILK ROAD TRADING CONCERN
 
____ Check enclosed: (Sorry we cannot accept non-USA checks.)
Personal checks will delay shipment by 5-10 days or until the check clears our bank.