Logicware Company Store Order Form

Logicware Company Store
20628 E. Arrow Hwy #6
Covina, California 91724
FAX: 1 (626) 966 - 5701
PHONE: 1 (888) LOGIC - 45 (564-4245)
1 (626) 938-9108

Please print out this order form and fax or mail it to one of the above options.


Ordered By: Ship To: (if different from "Ordered By" address)
Name

Address

City State Zip

Daytime Phone Number
(Required for International Shipping and essential if we have a question regarding your order.)

Name

Address

City State Zip

Daytime Phone Number
(Required for International Shipping and essential if we have a question regarding your order.)

Mail Orders Only

Credit Card, Check or Money Order (Payable to Logicware Inc.)

* * DO NOT SEND CASH * *


FAX or Email Orders

Visa - MasterCard - American Express - Discover

Account Number _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _

Expiration Date _ _ / _ _

Cardholder's Name ________________________

Cardholder's Signature _____________________

ITEM NUMBER    PRODUCT TITLE    PLATFORM QUANTITY PRICE EACH TOTAL PRICE
   Astrorock 2000      19.95  
           
           
           
SUBTOTAL  
SALES TAX (California residents only: 8.25%)  
SHIPPING & HANDLING  
TOTAL  

 

SHIPPING AND HANDLING *
Merchandise Total Continental United States International
Per Address Per Address Per Address
$10.00 - $29.99 $5.95 $12.00
$30.00 - $49.99 $6.95 $14.00
$50.00 - $74.99 $7.95 $16.00
$75.00 - $99.99 $9.95 $18.00
$100 and over 10% of merch. total $21.00 plus 7% of merch. total
AK, HI and U.S. Territories add $5.00 to the U.S. rates.
* For 2-Day Delivery, please provide street address and phone number. Oversized boxes ship UPS Ground. Orders to P.O. boxes will be sent by U.S. Mail. NO C.O.D.s, please.