Allen Designs Order Form

To order any  of our products simply complete the form below, click "submit" and we can process your order online. If you experience any problems using this from just call our toll free number 888-606-8453 and we'll process your order by phone.  You can also place orders by:
phone    fax     regular mail

Your information:
Name: 
Street Address: 
City:  State / Province: 
Zip:  Country: 
Phone (area code):
email address:
Ship to (if different than address above):
Name: 
Street Address: 
City:  State / Province: 
Zip:  Country: 
(area code) Phone:
email address:

I would like to order:
(for magnet orders simply type "magnet" under description)
Qty.
Item #
Description
Item Price
Total Price
merchandise total
WA State Residents add 7.9% tax
packing and insured delivery (see table below)
GRAND TOTAL
Packing and Insured Delivery in the 48 contiguous states
For a merchandise total of:
add this amount to "packing and insured delivery" line above
$0.01-$15.00
add $4.50
$15.01-$30.00
add $5.50
$30.01-$50.00
add $6.50
$50.01-$80.00
add $7.75
$80.01-$110.00
add $8.75
$110.01-$200.00
add $9.75
$200.01 and over
add $10.75

If you prefer a more secure transaction please submit this form twice: the first time with all of your information and the first 8 digits of your credit card number. The second time with just your name and the last 8 digits.
Credit Card Information:
Visa  Mastercard
card number:
expiration date (month-year):

 
To order by regular mail:
Print a copy of this form and mail it with a check,  money order (payable to Allen Designs) or credit card info to:
Allen Designs
17122 NE 219th St.
Battle Ground, WA   98604

 
To order by fax:
Print a copy of this form and fax it to us at: 1-360-687-8453

 
To order by phone:
Call our toll free number: 1-888-606-8454
(please have your credit card number handy)
     Feel free to include any additional comments here: