Sheepskin.com Text Only On-Line Order Form 
 
Mail or Fax this Form to:
Sheepskin.com
19505 24th Ave W #105
Lynnwood, WA 98036
Fax - (425) 672-3958
 
 Daytime Phone #        ___________________________
 
 Evening Phone #        ___________________________
 
 Billing Address
 Name                   ______________________________
 
 Address                ______________________________
 
 City, State            ______________________________
 
 Zip                    _________________

ENTER YOUR EMAIL ADDRESS   ___________________________             
 
 Ship To (if different from billing address)
 
 Should we treat this as a gift?       ____

 Gift wrap and enclosure $5.99 additional.   

 Should we add to your order?   Yes    No


 
 Name               ___________________________________
 
 Address            ___________________________________
 
 City, State        ___________________________________
 
 Zip                _______________
 
 Gift Message       _________________________________________
 

Sheepskin.com Products
 Quantity | Item Number  | Size  | Color |   Description   | Item Price | Total |
 
 _____________________________________________________________________________________
 
 _____________________________________________________________________________________
 
 _____________________________________________________________________________________
 
 _____________________________________________________________________________________
 
 _____________________________________________________________________________________
 
 _____________________________________________________________________________________
 
 _____________________________________________________________________________________
 
1. Total cost of items:_______________

2. Shipping from table below:_________________

3. Subtotal of 1 + 2 above _______________________
 
Sales tax = Subtotal(3) times 8.9%__________________
(WASH STATE RES. ONLY) 
 
Grand TOTAL:__________________________



Method of Payment:[] VISA [] MasterCard  [] Discover [] AMEX
                        [] Check or [] Money Order
 
Bankcard Number___________________________________/____________
		      ACCOUNT NUMBER                            EXP. DATE 
 
Issuing Bank	_________________________________/3 Digit Security PIN# from back of card(AMEX 4 digit front of card) _________
 

Signature (Required)  _____________________________________________
 

Ground Shipping Charges		
Order Total			U.S.A.	Hawaii & Alaska
Under $15		$7.95		$8.95
$15 to $24.99		$8.95		$10.95
$25 to $49.99		$10.99		$15.00
$50 to $74.99		$11.95		$20.00
$75 to $99.99		$13.65		$29.95
$100 to $149.99		$14.60		$36.00
$150 to $199.99		$17.20		$40.00
$200 to $299.99		$22.95		$45.00
$300 to $349.99		$26.99		$55.00
$350 to $399.99		$29.00		$65.00
$400 to $499.99		$34.25		$75.00
$500 to $599.99		$38.50		$85.00
$600 to $699.99		$45.70		$95.00
$700 to $799.99		$51.99		$105.00
$800 to $1000		$77.99		$120.00
$1000 to $1300		$103.99		$150.00