______________________________________________________________ | | | FullShot 1.0 Order Form | | | | INBIT Date:_________ | | P.O.Box 391674 | | Mountain View, CA 94039 | | Phone: 415-967-1788 | | FAX: 415-967-8614 | | | | 1 - 5 Copies $99.95 each | | 6 - 10 Copies $89.95 each | | 11 - 20 Copies $79.95 each | | 21+ Copies $69.95 each | | | | CA residents add applicable sales tax. | | | | Shipping & Handling | | $4.00 UPS Groupd $1 each additional copy | | $8.00 Second Day Air $2 each additional copy | | $14.00 One Day Air $2 each additional copy | | | | Federal Express Priority Overnight: $22.00 | | | | Qty Price Total | | _____ _______ _______ | | | | your order: | | _____ _______ _______ | | | | | | sales tax:_______ | | | | S&H:_______ | | | | Grand Total:_______ | | | | | | ____VISA ____MasterCard Expiration:___________ | | | | Card#________ ________ ________ ________ | | | | Name on the Card:_______________________ | | | | Signature:______________________________ | | | | Make checks payable to INBIT. | | C.O.D. adds $5.00. | | Purchase Orders are welcome. | | | | 30 day money back guarantee. No RMA is required before | | return. 15% restocking fee on all returns. | | | |____________________________________________________________|