Item #
Description
QTY
Unit
Price
Total
Mail Order Form
Print, complete form and mail to:
SubTotal
Shipping & Handling
Total Amount
Ship To:
Name
Address
City
State
Zip code
Email address
Phone#
Alpha Solar
343 Melton Dr
Fort Pierce,FL. 34982
Phone (772) 618-2899
Shipping & Handling Charge
Order Subtotal Amount
Up to $25.00
$25.01--$68.00
$68.01--$147.00
$147.01--$340.00
$341.01--$480.00
$480.01 and up
5.80
7.95
12.20
20.45
24.90
6% of order
$
USA. 48 States ( outside the U.S. e-mail for shipping charges)
Contact us
We accept money orders,checks, and all major credit cards (Visa,Master card,Discover and American express.
Credit Card
Name of card holder:
First___________________Last____________________
Type of card Visa/Mastercard/discover/American express
Card # ________________________ Experation date _ _/_ _ Authorization # (3 or 4 digit # on back of card right)
Card holders address: Street___________________________
City_____________________ State/Providence_____________ Zip___________ Country___________
Signature____________________________________
FL residents tax exempt on solar products
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