Khan Imports -  Print Order Form (For Mail or Fax Orders)

Toll Free 800-260-1064  •  Tel. 805-967-8050  •  Fax 805-967-7128
Mail To:  5730 Encina Rd., Suite 1, Goleta, CA 93117-6250  U.S.A.
E-mail:  khanimports@yahoo.com  /  Website:  www.khanimports.com
Name:
Billing Address:
City, State, Zip:
Shipping Address:
City, State, Zip:
Phone Number:
E-Mail:
Method of Payment: VISA _____ MC _____ Discover _____ AMEX _____
Money Order _____ Personal Check _____ (Will delay order 10-14 days.)
Account Number:____________________________________ Exp:___________
Signature:__________________________________________ Date:__________
Method of Shipping: (Ground shipping is FREE for orders over $125.00!)
UPS Ground ____ UPS 3 Day____ UPS 2 Day Air ____ UPS Next Day ____




Item # Description (Inc. Type of Stone or Color) Qty. Price Total
         
         
         
         
Merchandise Total:           
CA Residents Add 8.00% Sales Tax:           
(If Any) Shipping Charges:           
Total Order:           



Purchase Amount UPS Ground 3 Day Select 2 Day Air Next Day Air
Shipping Time2 to 5
Bus. Days
3
Bus. Days
2
Bus. Days
1
Bus. Day A.M.
Up to $25.00 $8.95 $34.95 $44.95 $69.95
$25.01 - $50.00 FREE $39.95 $49.95 $79.95
$50.01 - $80.00 FREE $49.95 $59.95 $89.95
  $80.01 - $100.00 FREE $54.95 $64.95 $99.95
$100.01 - $125.00 FREE $59.95 $69.95 $109.95
$125.01 - $140.00 FREE $64.95 $79.95 $119.95
$140.01 - $180.00 FREE $69.95 $99.95 $149.95
$180.01 - $220.00 FREE $79.95 $109.95 $159.95
Over $220.01 FREE Pls. Call Pls. Call Pls. Call