AG Products Online Order Form

PERSONAL INFORMATION:

First name:   Last name:

Shipping Address:

Phone Number:

Fax Number:

Email:

I would like to be contacted by:
Telephone Email Fax Does not Matter

YOUR ORDER:

Product #	Product Name	Size (if applicable)	Color (if applicable)	# of Items	Price	Sub Total

METHOD OF PAYMENT:

Credit Card In Store

METHOD OF SHIPPING:

Shipping Instore

<<Shipping>>
1. Depending on your order, we will choose the most appropriate and cost effective rate from below.
2. If you are going to come in the store and pick up your order, please let us know!
***We only charge the exact shipping cost.

Express Mail Flat Rate Envelope	Envelope size: 9-1/2 X 12-1/2 inches.	$14.4
Priority Mail Flat Rate Envelope	Envelope size: 9-1/2 X 12-1/2 inches.	$4.05
Priority Mail Flat Rate Boxes	11-7/8 x 3-3/8 x 13-5/8 inches or 11 x 8-1/2 x 5-1/2 inches	$8.10

<<Credit Card Payment>>
***If you wish to pay with your credit card, we will send you back this order form with your total amount (including the shipping cost and applicable tax) BEFORE we charge on your card.

DO NOT give us the credit card # via e-mail. After receiving the order confirmation sheet from us with your grand total, give us a call or fax us your credit card Info. It should include

*Card Holder's Name
*Card Number
*Card Expiration Date

***We accept Visa/Master/Amex

Give us 24 hours before we send you back the order confirmation sheet.

If you have any questions regarding your order, feel free to call us or e-mail us!
Thank you very much for your purchase.

Comments and/or Questions: Please call us at 718-599-3044.