Out-of-state clients or those that would like their order shipped back to them can use this form to make payment. If you are going to be picking up from our store, you don't have to use this. We suggest you use this in the beginning so there won't be any delays in your order. We accept VISA and MASTERCARD. Please make sure you are aware of our pricing if you are not by looking at our price lists or by contacting us. Note that sales tax will only be applied to orders shipped in CA. Please enter your address and payment information below. Fields with an asterisk(*) are required.

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First Name:*
Last Name:*
Address:*	(If Billing Address differs from Shipping Address, please specify in the 'Special Instructions' box below).
City:*
State:*	Select State... ALASKA ALABAMA ARKANSAS ARIZONA CALIFORNIA COLORADO CONNECTICUT DISTRICT OF COLUMBIA DELAWARE FLORIDA GEORGIA HAWAII IOWA IDAHO ILLINOIS INDIANA KANSAS KENTUCKY LOUISIANA MASSACHUSETTS MARYLAND MAINE MICHIGAN MINNESOTA MISSOURI MISSISSIPPI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEVADA NEW YORK OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VERMONT WASHINGTON WISCONSIN WEST VIRGINIA WYOMING
Zip:*	(5 Digit)
Email Address:*
Phone:*	Ext. Use this format: (123)123-1234
Reason for Payment:*	Select One... Shipping Order FTP Order Down Payment Outstanding Bill Other
Credit Card:*	Select One... VISA MASERCARD
Cardholder's Name:*
Card #:*
Exp. Date:*	(i.e. 01/07)
Card Security Code (CSC):*
	Below, you should type any instructions necessary to complete your order. For example, if printing, you should specify what paper size and paper finish you would like. Please don't assume we know what you are looking for. You can also include any message below.
Special Instructions:
	Please be sure you review everything above before submitting.