Order Form
Name:
Address:
City, State, Zip:
Phone:
Email:
Color
Description
Size
WV Residents please add 6% Sales Tax
Quantity
Subtotal
Tax
S&H
Grand Total
Shipping & Handling (S&H)
1 Item
2-5 Items
6-10 Items
$4.75
$7.95
$10.95
Instructions:
1. Please make check or money order payable to AAIWV.
2. Mail Completed form and payment to AAIWV, 729 9th Avenue #158, Huntington, WV 25701
3. Allow 2-3 weeks for processing and delivery.
Price