Ted's Military Surplus
20062 Beaver Dam Road, Lewes Beach, DE 19958 -- Ph: 302-945-6800 - Fax: 302-321-6452

Questions and Orders (Shipping Charges on Page 2 of this form):
1.
Mail form below with order and payment
2. Fax your order 24 hours a day (302) 321-6452

Bill To:
Name______________________________________________________________________

Address____________________________________________________________________

City____________________________________________ State_____ Zip ______________

Phone Number ______ - ____________________

Ship To (if different than Bill To):

Name______________________________________________________________________

Address____________________________________________________________________

City____________________________________________ State_____ Zip ______________

Phone Number ______ - ____________________

Item# Qty.
Description
Size
Price Ea.
Total
           
           
           
           
           
           
           
           
           
           
Subtot.
$ $
Ship.
$ $
TOTAL
$ $

METHOD OF PAYMENT: (circle one)  VISA  MC  Discover  AMERICAN EXP.

Credit Card No.____________________________________________ Exp. Date: __________

CV2 Code_______________ *Required (whats this?)

Signature (as appears on card) ____________________________________________________

______ Check (Please allow 2 weeks for check to clear)

______ Money Order

SHIPPING CHARGES STANDARD SHIPPING CHARGES
SUB-TOTAL OF ORDER
 SHIPPING CHARGES
 Up to $10
$6.95
$10.01-$25.00
$8.95
$25.01-$50.00
$11.95
$50.01-$75.00
$12.95
$75.01-$100.00
$13.95
$100.01-$150.00
$14.95
$150.01-$200.00
$15.95
$200.01-$300.00
$18.95
$300.01-$400.00
$21.95
$400.01-$500.00
$24.95
Over $500.00

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