eplace4u.com
Product Order Form

Order confirmation E-mailed to you within 24 hours
All costs are USA only. Shipping Priority or any special shipping, like overnight, additional.

Tax: All orders being shipped to addresses within New York State please include applicable tax.

Shipping Outside USA: For any shipment outside USA please email for correct charges.
Payment: All payment must be made in US dollars paid on a US bank.
If you prefer to mail your order please send with p;ayment to: eplace4u.com, P O Box 1058, Plainview, NY 11803
If you prefer to email your order email to: eplace4u@aol.com

You can always email your order or any questions or problems to: eplace4u@aol.com

eplace4u.com
P O Box 1058
Plainview NY 11803
Checks made payable to: eplace4u.com
OR
You can pay via Paypal with Mastercard or Visa Card.
Just Click On the Image at the bottom of the order form!
Please fill in the boxes below Eplace4u.com is customer friendly and invites your comments. email: eplace4u@aol.com

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Title
Item #
Price
Quantity
Extension

SHIPPING

Standard Shipping Rate
for Continental US or lower 48
Merch. Total
Please Add

Up to $25.

$ 4.95

$25.01-$45.00

$ 6.95

$45.01-$65.00

$ 8.95

$65.01-$85.00

$10.95

$85.01-$100.

$12.95

$100.01-$150.

$14.95

$150.01-$200.

$16.95

$201-$500.

$18.95

$501. & over

8% of order

Shipping other than Continental USA, please email for correct charges.

TAX (if applicable)

TOTAL

required


Your Information

First name: required

Last name: required

Address: required

City : required

State: required

Zip: required

Area Code: required

Phone No : required

E-Mail: required

Todays Date required

Payment Choose required

IF YOU WANT TO USE PAYPAL AND HAVE NOT SIGNED UP ALREADYTHE LINK TO DO SO IS ON THE THANK YOU PAGE YOU WILL BE SENT TO AFTER YOU SUBMIT THIS FORM

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