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Print Order Form (For Mail or Fax Orders)

Toll Free 800-260-1064  •  Tel. 805-967-8050  •  Fax 805-967-7128
Mail To:  126 N. La Patera Lane, Goleta, CA 93117-1512  U.S.A.
E-mail:  info@khanimports.com  /  Website:  www.khanimports.com
Name:
Billing Address:
City:                                                     State:                  Zip:
Shipping Address:
 
City:                                                     State:                  Zip:
Phone: (         )                                     Fax: (         )
E-Mail:                                                  Date:      
Method of Payment:  VISA _____ MC _____ Discover _____ AMEX _____
Money Order _____ Personal Check _____ (Will delay order 10-14 days.)
Account Number:_____________________________________ Exp:_________
Signature:_______________________________________________
Method of Shipping: (UPS Ground shipping is FREE for orders over $100.00!)
UPS Ground ___  UPS 3 Day___  UPS 2 Day Air ___  UPS Next Day ___




















Item #Description (Inc. Type of Stone or Color)Qty.PriceTotal
         
         
         
         
         
Merchandise Total                  
CA Residents add 7.75% Sales Tax                  
(If Any) Shipping Charges                  
Total Order                   















Purchase Amount UPS Ground 3 Day Select 2 Day Air Next Day Air
Shipping Time2 to 6
Bus. Days
3
Bus. Days
2
Bus. Days
1
Bus. Day A.M.
Up to $30.00 $6.95 $10.95 $14.95 $29.95
$30.01 - $50.00 $6.95 $14.95 $19.95 $34.95
$50.01 - $80.00 $6.95 $19.95 $29.95 $49.95
  $80.01 - $100.00 $6.95 $21.95 $34.95 $54.95
$100.01 - $140.00 FREE! $25.95 $39.95 $59.95
$140.01 - $180.00 FREE! $29.95 $44.95 $64.95
$180.01 - $220.00 FREE! $34.95 $49.95 $69.95
$220.01 - $260.00 FREE! $39.95 $54.95 $74.95
$260.01 - $300.00 FREE! $44.95 $59.95 $79.95
Over $300.01 FREE! Pls. Call Pls. Call Pls. Call