DuraScoop® Printable Order Form

Please print this form, fill it out and mail to:

Sweet Home Industries, LLC
P.O. Box 943
Batavia, IL 60510

Name:________________________________________________________________

Company/Organization:___________________________________________________

Address:______________________________________________________________

_____________________________________________________________________

City:_____________________State:_______________Postal (ZIp) Code:___________

Daytime Telephone Number: (_______)_________-_____________________________

Facsimile Number:                  (_______)_________-_____________________________

E-Mail Address: ______________@________________________________________
Quantity Description Unit Price Total Price
  DuraScoop $12.95  
llinois customers add 6.5% sales tax (Total x .065)    
Shipping, please add:
    
1 unit $5.00 Priority Mail    
2 units $7.00 Priority Mail    
3 units $9.00 Priority Mail    
4 units $10.00 Priority Mail    
5 units $11.00 Priority Mail    
SHIPPING: All orders are shipped via USPS Priority Mail (2-3 days). Costs are averaged across zones. For orders of more than 5 units or if shipping to locations outside the United States, please email us at: info@durascoop.com for special payment and shipping arrangements such as Ground UPS.
Total:   
Please make checks payable to: Sweet Home Industries, LLC

For charge card orders by mail or fax (1-630-225-2169) -VISA/MasterCard Only:

Charge Card Number:_________-_________-_________-_________

Expiration Date:_________ Signature:______________________________


(Please indicate shipping address if different than billing address)

Name:________________________________________________________________

Street:________________________________________________________________

City:_____________________State:_______________Postal (ZIp) Code:_______

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