Fill in all of the contact information, the quantity you wish to order and the totals of each line and bottom. Add the correct shipping according to the chart below and print the completed form. Mail form along with check or money order to the address below.

Please type in the information below before you print. It's much easier to read and will help eliminate errors. Thanks

First Name Last Name
Street Address
City State    Zip Code 
Home Phone E-Mail  
Mail Check and Form:  Payable To: Jade Enterprises
			          3804 39th Ave. W.
			          Bradenton, Fl. 34205
To order by phone: Call Jan Toll Free 800-597-0172
Product Name Quantity Price Each Total

 

Shipping

Subtotal:

Up To - $229.99    -   add 10% of Subtotal

Shipping:

$230.00 - $499.99   -  add 8% of Subtotal

Total

 FREE SHIPPING

 

Jade Enterprises