1. Eximious | Order Form
Order Number
(Do not Fill)
Date:
Buyer's name: Phone Number:
Shipping/Delivery
Address:
E-Mail Address
Quantity Item Price Each Subtotal
Total:
Sales Tax: 7%
$2.00
Shipping/Delivery Charge: (50 items or more will be free as well as
local areas. Call to see if you qualify.)
Grand Total: