SHIPPING INFO
 BILLING INFO (fill in only if different)
Name _________________________ Name __________________________ Ordering Methods
Address _________________________ Address __________________________ Home

_________________________
__________________________
Phone _________________________ Phone __________________________
Email _________________________ Email __________________________
CREDIT CARD INFO (if not paying by money order)
Card # ____________________ Exp. ____________________
Name on Card ____________________ Type Visa Mastercard Discover  (circle one)
SHIPPING RATES
Continental USA:
Merchandise Total:
$0.01   -$10.00
$10.01 -$25.00
$25.01 -$40.00
$40.01 -$75.00
$75.01-$100.00
$100.01-$200.00
$200.01 and over
Add:
$4.60
$6.90
$7.90
$9.20
$10.15
$15.65
FREE		 For International Shipping & Handling
please see Ordering Methods.

Beginning July 1st, 2022, please add 10% to the total order amount for items ordered from the following pages:
Scroll Saw Blades
Band Saw Blades
Scroll Saw Retrofit Items
Scroll Saw Accessories
Foredom Tools
PURCHASE INFO
Product Code
(if applicable)		 Description Qty Price Ea. Amount
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______
_____________ _______________________________ ____ $_______ $______


Subtotal $______
Shipping Method _______________________________ Shipping $______


GRAND TOTAL $______

Mail this completed form to:
POZSGAI'S DESIGNS,
19390 S.W. Murphy St.,
Aloha, OR 97007-4428

or call:
1-503 642-3850