Yandre & Teague, Ltd. * P.O. Box 707 * Virginia City, NV 89440-0707 Phone & FAX (775) 847-9215 This Order Form may be printed and mailed, FAX or call in the order to your favorite store, or sent to us via e-mail by pressing the SUBMIT button below. Thank you! We appreciate your business!
Merchandise Order Form
Item #
Description
Qty.
Price
Subtotal
Order total:
Tax:
Nevada Residents add 7% Sales Tax
For shipping charges: see chart below
Shipping:
Total:
Name:
Address:
City:
State/Prov:
Country:
Zip/Post. code:
Phone:
E-mail:
*This credit card information may be sent to an unsecured site and may be visible to others.
Method of Payment
Check or M.O.
Discover Card
Payments in U.S. Funds Only
Visa
MasterCard
American Express
Credit Card #:
Exp. date:
Shipping & Handling Chart within Continental USA Up to $50 please write in $5.50/ for Express write $11.50 $51 - $100 please write in $6.95/ for Express write $13.95 $101 - $200 please write in $11.95/ for Express write $18.95 $201 - $300 please write in $16.95/ for Express write $23.95 $301 - $500 please write in $21.95/ for Express write $28.95 No charge for any order over $500 For Delivery Outside Continental USA, FAX for Quote
Quick Service! Call the store of your choice to order by phone with your credit card info!
*NOTE: When you press the SUBMIT option above, your order is transmitted electronically to our e-mail. As and alternative, you may print this form and mail it to the address above or call your favorite store directly to place your order.
NOTE: Names and personal data are requested solely for the purpose of serving you, our valued customer, and under no circumstance will this information be sold or otherwise distributed in any form.
Thank You! We appreciate your business!