Order Form

To Order 24 Hours A Day: Call 1-800-444-6481 Fax 1-918-832-8900 or Internet at www.drysdales.com
PG #
ITEM NO
www.drysdales.com
QTY.
DESCRIPTION
SIZE
COLOR
UNIT PRICE
Ordered By: If this is not your correct address please cross out and correct.
AMOUNT
MDSE. TOTAL
OK Res. Only Sales Tax 8%
SHIPPING
INFORMATION
Shipping & Handling
DOMESTIC
SHIPPING & HANDLING
Charge
Order Amount
$0 - $49.99
$8.95
$50.00 - $75.99
$10.95
$12.95
$76.00 - $89.99
$99.00 or more
FREE
Time given in
business days.
GROUND SERVICE
6 to 10 days.
PRIORITY AIR
3 to 4 Days
Add $15.00
Air/C.O.D.
Canadian/International Shipping
Gift Certificate
TOTAL
Add $15 for shipments to AK, HI &
Us Territories. Additional charges
EXPRESS AIR
2 Days
Add $25.00
may be added for oversized/
overweight packages.
®
3220 South Memorial Drive • Tulsa, OK 74145
To Order Call 1-800-444-6481 For Customer Service 1-800-608-9800
Shipping Address: Please fill out if you would like your items shipped to a different address.
❑ Business
DELIVER TO:
Name - First
❑ Residence
❑ Gift Recipient
Middle
Last
Address
Daytime/Cell Phone (
Evening Phone (
OFFICE USE ONLY:
Apt#
State
)______________________________________________________________________________
Email Address:____________________________________________________________________________________
Please Do Not Mark in this Area.
REC’D:_________________
CK_____
City
)__________________________________________________________________________
Zip
50_____
150_____
CC_____
COD_____
CRED:_________________
OTHER___________
ENT BY:_______________
CERT_______________
❑
❑
❑
ORD: _________________
MO_____
METHODS OF PAYMENT
GC_____
❑
❑
Account #
Exp. Date
Signature
CVV#