ORDER FORM

 

 

NAME:

 

STREET:

 

CITY:

 

STATE:

 

PHONE NUMBER:

 

TOTAL PURCHASED:

 

TOTAL DOLLAR AMOUNT INCLUDING S&H PLUS INSURANCE:

 

 

 

 

PLEASE NOTE IN THE PURCHASE SPACE HOW MANY PANELS YOU WANT.

SHIPPING INCLUDES USPS PRIORITY SHIPPING WITH INSURANCE & DELIVERY CONFIRMATION NUMBER.

 

 

SHIPPING IS AS FOLLOWS:

 

1-3 PANELS PRIORITY MAIL ~ $6.50 SHIPPING

4-8 PANELS PRIORITY MAIL ~ $15.00 SHIPPING

9-15 PANELS PRIORITY MAIL ~ $17.50 SHIPPING

15-20 PANELS PRIORITY MAIL ~ $20.00 SHIPPING

 

PLEASE MAKE PAYMENTS TO:

JVM WEBWORKS LLC

4119 DORIS AVE.

BALTIMORE. MD

21225

 

 

PRINT THIS PAGE TO MAIL YOUR INFORMATION ALONG WITH YOUR PAYMENT