Fogdam.com
an Armm Inc site
P.O.Box 81 Alamance, NC 27201
Phone: (888) 666-8913 Fax: (336) 227-8682
ITEMS IN
ORDER
ITEM #
DESCRIPTION
PRICE
QTY
AMOUNT
Shipping & Handling
Order value:
$1-49.99 = $7.50
$50-99.99 = $6.50
$100.00 + = FREE SHIPPING*
Ground Service via UPS or USPS.
(* All US domestic orders over $100.00.)
Int'l orders shipping rate will be emailed to you prior to shipping order.
North Carlonia Residents add 6%
Subtotal
Shipping &
Handling
Sales Tax
Total Due US$
Visa
Amex
MC
PayPal
Check/ Money Order (Mail in)
Credit
Card # Expiration Date
Name
on card Credit card bill to zip code
First
name
Ship to Address
Phone Number
Email address
Last name
City, St., Zip
Fax Number
Print this form and fax it to
www.fogdam.com at (888) 666-8913