Customer Check Out

Customer Inside the U.S.A.

Please fill in all information. Everything is required except for the fields that say, "Optional." Your address will help to calculate shipping cost. Leave the 0 in Customer ID box unless you ordered before and know your customer ID#.

After you have filled out this page, please click the NEXT button to continue.

Customer ID (If you remember it)
First Name
Last Name
Address
City
State
Zip
Phone (Optional)
Fax (Optional)
Email
Retype Email (Note: we need a correct email address to confirm and deliver your order!)
Comments
(Optional)