MAIL ORDER FORM (no PayPal)

Send this form with payment to:
Bitter Brook Cabochons
P.O. Box 823
Springville, AL 35146

Item No.	Description	Each
		$
		$
		$
		$
		$
Sub Total		$
Alabama residents please add 4% state sales tax		$
Shipping (See Charges Below)		$
Total		$

Please provide all the information below.

Make money orders or checks payable to Steve Adams .

Cabochons will be shipped within 3 business days; please e-mail if you have any questions.

Name
Address
City
State
Zip Code
E-mail Address
Phone #

Non-PayPal Shipping Chart - USA only
All items shipped USPS First Class Mail, with insurance.
If you do not want to pay for insurance and are willing to accept the liability
in case of loss or damage in shipment, please note it on this form.

Overseas customers may not use this form for purchasing cabochons.

Sub total from above	Shipping
Up to $50.00	$4.31
$50.01 to $75.00	$4.81
$75.01 to $100.00	$4.98
$100.01 to $200.00	$5.70
$200.01 & up	$7.77