First Name:Last Name:
E-Mail Address:
Daytime Phone Number:
For orders outside the US you may send a bank wire transfer:
Important: Upon submission of this order we will e-mail you a verfication number and the total amount of your order which will include $40 for shipping and handeling. Please wait for verfication from us before you wire the funds to make sure the item is on reserve for you. We will e-mail you verfication of shippment with a UPS tracking number upon shipment.