Quantity
|
Item
#
|
Description
|
Unit Price
|
Total
|
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| Shipping
& Handling Charges |
Total
Shipping Amount |
| 0 to
$25.99 |
add $9.99 |
| $26.99
- $45.99 |
add
$11.99 |
| $46.99
- 65.99 |
add $12.99 |
| $66.99
- 99.99 |
add $13.99 |
| over
$100.00
|
add
8% |
|
Subtotal
|
|
|
Tax
(WI
Sales Tax add 5.6%)
|
|
|
Shipping
|
|
|
Total Amount
|
|
Type
of Payment
Check
#____________ (made payable to ESP Energy,LLC)
MasterCard
Visa Discover (circle
one)
Number_________________________________
Expiration
Date___________
Signature
(required if using credit card)___________________________
Send
payment and order form to:
ESP
Energy
16
E. Walworth St
Elkhorn,
WI 53121 |
