Order Form ( Print and mail form

 ( Select print form your file menu in your browser)

   Send To:
                   Peter DeBella
                   109 Silas Carter Rd.
                   Manorville, NY. 11949
                 
                    Call (631)874-8660  Hours 9-5 eastern time

 

                                   Address                                                                              

NAME:

EMAIL:

ADDRESS:

DATE:

CITY/STATE

SPECIAL INSTRUCTIONS:

ZIP CODE:

 

QUANTITY

ITEM/DESCRIPTION

PRICE PER

TOTAL

       
       
       
       
       
       

TOTAL

 

SHIPPING CHARGE                                                    

 AMOUNT DUE


  Merchandise is non refundable after 30 days. A 15% restocking fee will be applied
to all returned items. 
All personal checks will be held until bank clearance. Prices are subject to change
 without notice. See shipping chart under order info, for charges  in the U.S.
 Please email us for International shipping rate.