Order Form

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-ERRORS- * Required information
*Note: If you are an International Customer please use "INTL" in the State entry field for international orders.

Billing Address:

*First Name

 

*Last Name 

 

*Address 

 
   

*City or town 

 

*State 

 

*Zip code 

 

Country 

   

*Phone 

 

*E-mail 

 
 

Shipping Address:(if different than mailing)

First Name

 

Last Name

 

Address

 
   

City or town

 

State

 

Zip code

 

Country

 

Phone

 
E-Mail  
Comments:

Payment Method:
*Note: This credit card number must correspond with the information above.
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Shipping Method:
Freight based on regular pricing, and may be corrected in-house.
Purchase Total
Shipping Charges
$ 0 - 15
8.00
$15.01 - 30.00
10.50
$30.01 - 50.00
14.00
$50.01 - 75.00
16.50
$75.01 - 100.00
18.50
$100 +
16% of order

*NOTE: Customers who choose Next Day Air, 2nd Day Air or 3rd Day Air as a shipping option for their order will be charged actual shipping charges. These charges will NOT reflect on the web order confirmation . These charges can not be determined until the order is packed and weighed. All charges will be added to the order total AFTER it is received by loose ends LLC., just before shipping.

The charges for air shipping services can be expensive, if you are NOT certain you want this service and the cost associated with it, please call customer service to discuss your options (503) 390-7457. Catalogues will NOT be shipping AIR FREIGHT without specific authorization to a customer service agent.
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Promotion Code:

Order Summary:
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