Home

Copperhead

Home| Comics Home | Gaming Home | Art Home

 

Gaming Home
Comics Home
Art Home

__________________________

 

 

Copperhead

P.O. Box 126

Monrovia, Maryland 21770

CUSTOMER
  Name:  
     
  Address: Apt. #:  
       
  City: State: Zip Code: Country:  
           
  Day Phone (Not Mandatory): Night Phone (Not Mandatory):  
       
  Email Address:  
     
  RECIPIENT (If different from CUSTOMER):  
  Name:  
     
  Address: Apt. #:  
       
  City: State: Zip Code: Country:  
           
  Day Phone (Not Mandatory): Night Phone (Not Mandatory):  
       
 
Qty Name/Description Number(s) Grade Price Total
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
Shipping and Handling

$10 or less : $5.00 fee

$10.01-$25.00 : $6.00 

$25.01-$50.00 : $7.50

$50.01-$99.99 : $11.00

$100.00 and over : $1.00

Make Checks and Money Orders Payable to Copperhead

Sub Total  
6% Sales Tax (Maryland Residents only)  
Shipping and Handling  
Grand Total

 

   

 
one way text links - gotlinks.com