| Order Form - Platinum Chains - U.S.A. |
| Style | Length | Each | Total $ |
| Boxes | $3 | ||
| Airmail Handling & Packing, or... | $10.00 | ||
| ...Fully Insured Shipping via Fedex | $40.00 | ||
| Check enclosed payable to "Chard" | Total | $ |
Please mail to:- (Use an address sticker if you wish.)
| Name |
| Street Address |
| Town / City |
| County / State |
| Country - USA |
| Zipcode |
| E-mail address for advice of despatch |
|
|