ESL.net
Mail Order Form
 		1122 E Pike St #685
Seattle, WA 98122
Order By Fax: 206-726-1519
Information Line: 206-726-1514
Shipping Address
Date:
Name: Phone #:
Address:
City, State, Zip:
Billing Address
Name: Phone #:
Address:
City, State, Zip:
Payment Information
Credit Card/Check/Money Order: CC Type (MC/Visa/AX/Disc accepted)
CC Number and Exp. Date:
#ITEM DESCRIPTIONx PRICE= TOTAL

Shipping Rates: (Continental US, UPS 3-Day Select)
Order Amount: $1 - $50 $50 - $100 Over $100
Cost: $7 $9 $11
Subtotal
Tax
Shipping
Total
WA residents please add 8.2% sales tax.
Ordering from outside the U.S.? We have shipped orders everywhere from Canada to New Zealand. Shipping fees vary widely, please contact us for fees and options for your order.
Comments:
Thank you for your order from ESL.net!