ORDER FORM      Print this form to order via mail or e-mail.    I accept payment through 

PayPal! Visa ,MasterCard, Discover, and American Express     Before you send out your request, please, e-mail us your order to make sure about prices, discounts, and the grand total of your purchases. This will help both parties to avoid any misunderstandings or errors.

 INDEX SIZE

L / R

W / M PRICE QUANTITY TOTAL
             
             
             
             
             
             
          Tax :only for NY 8.25%
          Shipping cost :  
          ORDER  TOTAL:  

Notice from the management: For the purpose of security and effective service, we ask all of our customers to provide us with their full Billing Information:

First Name ________________   Last Name ______________________
Shipping cost for USA:
$0.01-$9.99         =$5.90
    $10.00-$49.99    =$14.90
Full Address ______________________________________________     50.00-$99.00      =$17.90
   Delivery 3-7 days 100.00-$199.99  =$25.90
City____________________  State___________ Zip Cod__________   Over $200           =$ 39.90
     
Phone number  _______________________E-mail ____________________    

Type of Payments:   O   CHECK    O   MONEY ORDER    O   CREDIT CARD   

Additional Notes : _____________________________________________________

Please make all your checks or money orders to the        D'  Market Consulting  Service       

Mail address:  D. M. C. SERVICE  P.O.B. 290-493  BROOKLYN, NY 11229, USA

    E-mail: FENCINGUSA@Hotmail.com

I ,________________, hereby affirm that the information stated above is true, and I give my authorization to release this information for verification purposes only .

Signed this  ______day of   _____,   2004   

Signature    ________________________