ORDER FORM

 

Date:                             

 

Print this form and fill out to send

in with your payment.

From

 

Ship To

 

         

 

Qty

Description

Unit Price

 

 

Line Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

Shipping

 

 

Total

 

 

               

 

1.        Shipping costs: $0.01 - $10.00 = $7.00, $10.01 - $50.00 = $6.00, $50.01 - $200.00 = $5.00, $200.01 and up = Free shipping

2.        Make out check or money order to:

The Ninth Gate

 

 

Signature

Date

The Ninth Gate  P.O. Box 11496, Fort Wayne, IN 46858-1496  TheNinthGate@the9thgate.com