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ESP Energy Order Form

Name:___________________________________________

Address: _______________________   Apt/Suite #_________

City: _____________________________________

State:____________________________________ Zip Code:_______

Phone Number (     )__________________________

email address:_____________________(optional)

Quantity
Item #
Description
Unit Price
Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping & Handling Charges Total Shipping Amount
0 to $25.99              add $5.99
$26.99 - $45.99      add  $6.99 
$46.99 - 65.99          add $8.99  
$66.99 - 99.99       add $9.99      
over $100.00          add 8%

 

Type of Payment

Check #_________ (made payable to ESP Energy)

MasterCard        Visa        Discover (circle one)  

Number_________________

Expiration Date___________

Signature  (required if using credit card)___________________________

Subtotal

 

Tax  

(WI Sales Tax add 5.6%)

 

Shipping

 

Balance Due

 

Send payment and order form to:

ESP Energy

16 E. Walworth St

Elkhorn, WI 53121

 

 

 

Customer Service

How to Place your order

Contact Us

 

 

Orders & Shipping

Return your order

What to do if your order is damaged

Cancel your order

 

Policy Information

Shipping Policy

Return Policy

Privacy Policy

 

 


Order Toll Free at 1-866-ESP Energy

                          (1-866-377-3637)

 

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