Order Form
Bill To:				Ship To:
Phone:				Email address:
DATE:				PO#:
QTY	Item #	Description			Price	Extended Price
Total of items:
Shipping:
Grand Total:
Order amount:		Shipping rate:		Orders can be mailed to:
$0.01 - $19.99		$4.95		LED RV Lighting
$20.00 - $49.99		$7.95		PO BOX 4252
$50.00 - $99.99		$9.95		Spanaway, WA 98387
$100.00 - $199.99		$13.00
$200.00 and over		$17.00		Fax your orders to us at:	253-875-6494
Please include order amount and shipping charge.
Cashier's Check or Money order only, NO PERSONAL or Business Checks
	Credit Cards accepted: Visa/MC/AMEX
	Credit card number:
	Expiration date:
	Name on card:
Please include CC billing address in the "bill to"section at the top of the order form