Crystal Radios Past & Present   23110 Arlington    Dearborn, MI  48128      313-277-2529     www.crystalrad.com

 

Name
Address______________________________
City____________________State___Zip____
Phone(___)___________________________

Please have all ordering information and credit card ready. It will help to fill out this order form before calling.
Method of Payment:___check ___Money Order,    Sorry no C.O.D.'s
___Master Card       ___VISA      ___American Express      ___Discover


CreditCardNumber:___________________________

Exp.Date______Signature_________________________________

Ship To:__Business__Residence
Name___________________________________
Address_________________________________
City_______________State_____Zip_________

 

Manufacture

Qty

Item #

Description Of Item

Price Ea.

Total

           
           
           
           
           
           
           
           
           
Prices are subject to change without notice:  

Shipping & Handling charges
Packing, postage and insured delivery to each destination in the Continental United States.
For Orders:
$   .00 to $  9.99.....add  $5.50
$10.00 to $19.99......add $6.50
$20.00 to $29.99......add $7.50
$30.00 to $39.99......add $8.50
$40.00 to $49.99......add $9.50
$50.00 to $59.99......add $10.50
$60.00 to $69.00......add $11.50
Over $70.00....add $12.50
Applies to most orders in Continental U.S.
 

Subtotal

 

Shipping & Handling (see chart)

 
   

Total

 

Michigan Sales Tax  6%.

 

 

Final Total