Wakeda.com Printable Order Form

This form can be filled out online and then printed to fax or mail in your order. Please fill in all of the boxes completely to ensure accurate processing of your order.

Name:	Shipping Address:
Phone Number:

Quantity	Code	Description	Price Each	Total Price
Subtotal
Tax (if shipping to CA) 7.25%
Basic shipping with FedEx Ground or USPS Priority Mail for the first 10lbs. of product For faster service or heavier packages, actual shipping charges will apply. Please contact us for a quote				$7.00
Total

Payment information: For your convenience we accept Visa and MasterCard. If using a check please allow extra time for your check to clear. A $25 processing fee will apply for any checks returned without sufficient funds.
Credit Card Number:	Expiration Date: mm/yy
Billing Address for Credit Card: Same as Shipping or:	Email:
I understand the ordering policies stated here and on Wakeda.com and commit to payment of this order. _________________________________ Date: ____/____/____

Return to Wakeda.com