ORDER FORM

ORDER FORM - DarkFireDragon.com


Ship to:____________________________   Check payment method:

                                                                                        
Address:____________________________   Cashiers Check ___ Money Order ____ Check_____
                                                                                         
        ____________________________   Make check payable to: Square River Corporation


City:_______________________________   Money Order and Cashiers Check orders ship within
 

State:________ Zip Code ____________   24 hours of receipt.  For all other check orders,

          Sorry U.S. Only.
Country:____________________________   such as personal checks, allow 10 days for the check


E-Mail:_____________________________   to clear the bank.


Telephone:(optional)________________     


 ________________________________________________________________________________
|Item Number |            Title             | Quantity   |   Price    |   Total  |
|____________|______________________________|____________|____________|__________|           
|            |                              |            |            |          |
|____________|______________________________|____________|____________|__________|
|            |                              |            |            |          |
|____________|______________________________|____________|____________|__________|
|            |                              |            |            |          |
|____________|______________________________|____________|____________|__________|
|            |                              |            |            |          |                             
|____________|______________________________|____________|____________|__________|
|            |                              |            |            |          |
|____________|______________________________|____________|____________|__________|
|            |                              |            |            |          |
|____________|______________________________|____________|____________|__________|
                                                             Subtotal |          |
                                         Postage / Handling *         |__________|
                                                                      |          |
                              Sales Tax - Illinois Residents Add 8.5% |__________|
                                                                      |          |
                                                Total Amount Enclosed |__________|                    
       * Shipping & Handling                                                             
      We only ship to the U.S. 
   -----------------------------
     If you order is:     Add %
     $0.01 to   9.99       30%
     10.00 to  49.99       20%
     50.00 to  99.99       10%
    100.00 to 199.00        8%
    200.00 and up           7%


                  
  Please use additional sheet of paper if necessary to complete your order. 
 
      
      Mail this order form with payment to:
Also make check payable to: Square River Corporation 9100 S.83rd Avenue Hickory Hills, Il 60457 U.S.A.
RETURNS... If for any reason you are not completely satisfied just return merchandise within 30 days, in saleable conditions, for prompt refund. No questions asked. Enjoy!

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