Online Order Form

5135A 69th Street
Lubbock, Texas 79424
United States
(806)794-3692 / Fax (806)794-9699

Please indicate the item your ordering here

$3.50 minimum shipping and handling will be added to your order (small items - US Postal Service).
For multiple or large items, UPS shipping and handling charges will be added to merchandise total.
Texas residents pay 7 7/8% (.07875) state sales tax unless resale certificate on file.

Shipping Information


Red fields are required

First Name

Last Name

Address

Address 2

City

State

Other

Zip/Postal

Phone

Extension:

Email

Choose a Payment Method

Payment Method

Visa

Master Card

American Express

Discover

Credit Card Number:

Name Printed On Card:

Expiration Date:

(Be sure this is correct)

Name of Issuing Bank:

Phone Number of Bank (should be on back of card)

Additional Information
Special instructions? Let us know here:

$3.50 minimum shipping and handling will be added to your order (small items - US Postal Service).
For multiple or large items, UPS shipping and handling charges will be added to merchandise total.
Texas residents pay 7 7/8% (.07875) state sales tax unless resale certificate on file.

 


After you complete, simply press "Send" button once
or print this page out, fill out and fax or mail your order to:

Our Address is:
5135A 69th Street
Lubbock, Texas 79424
United States

If you have problems with this form, please email customer service

Next Day, Second Day, Three Day Select UPS shipments available.