Classic Home Hardware Order Form

<%@ Page Language="C#" ContentType="text/html" ResponseEncoding="iso-8859-1" %> Classic Home Hardware Order Form

Order Form

Billing Address:

Shipping Address (if different):

Name:
Address:
City:
Prov./State
Postal/Zip Code:
Country:
Phone Number:
e-mail:

Name:
Address:
City:
Prov./State
Postal/Zip Code:
Country:
Phone Number:
e-mail:

Products to Order:

Item #	Description	Quantity	Price	Line Total

Sub-Total:
Shipping & Handling:
Taxes: CT Residents add 6%:
GRAND TOTAL:

Shipping Charges
Continental U.S. only
(Alaska, Hawaii and International orders will be figured accordingly)

$0.00 to $49.99	Add $7.50
$50.00 to $99.99	Add $8.50
$100.00 to $149.99	Add $9.50
$150.00 to $199.99	Add $11.50
$200.00 to $299.99	Add $13.50
$300.00 to $499.99	Add $16.50
$500.00 to $999.00	Add $19.50