Order Request

Fill out form to request an order. Minimum Order request must be $35.00. Before the order is completed, we will contact you to go over details and availability. Please DO NOT INCLUDE your credit card information in the order request form.

There is a delivery fee based upon your location.

IMPORTANT: For Shipping Orders, items must be NON-PERISHABLE ONLY.
Shipping method is United States Parcel Service (UPS). We charge $2.00 handling fee + UPS Rate.
Email address *
Date of Order Request *
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Home Delivery or Shipping *
Required
First and Last name *
Address *
Phone number *
Preferred contact method *
Required
What are the items you would like to order?
Enter below an itemized list.
List below the Product Brand Names, Descriptions, Sizes, Quantities and Barcodes (optional)
Questions and Comments
A copy of your responses will be emailed to the address you provided.
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