Credit Card Orders — Fill in boxes with card number
Expiration Date: Month ________ Year ______
Visa Mastercard American Express Check or Money Order
Minimum Order $10.00
OFFICE USE ONLY
ITEM
QUANTITY
PRICE
TOTAL
POSTAGE AND HANDLING: No COD's
$10.00-$16.00.................$8.00
$16.01-$23.00.................$9.00
$23.01-$30.00.................$10.00
Over $30.00...................$12.00
SUBTOTAL
Postage and Handling
TOTAL
Print this form, fill in your order, and mail, fax, or call in your order to: OAKHURST COMPANY
3000 Hempstead Turnpike Suite 315
Levittown, New York 11756-1338
PHONE (800) 831-1135 FAX (516) 731-5607
