Online Auto Order Form. Please complete the form below and press Submit. Upon successful completion a "Thankyou" page will appear and an email delivered to your submitted email address with a summary of the information provided. The system utilizes a secure socket encryption so your data is safe.
By Phone. Toll Free: 1-888-323-3735. We will accept all your Billing, Shipping, Product and Credit Card information by phone should you prefer.
By FAX. As an option please fill in and print this form then FAX to (757) 546-8448. Do not click the SUBMIT button but simply close the page after printing.
Payment options include: Visa, Mastercard, & Discover only. Should other options be desired please contact us. Certain items MUST (*=Required Fields) be included in order for the form to be processed. Please be sure to complete those items...you will receive an error message if they are not filled in.
IF you are shipping to a location outside the 48 Continental United States (CONUS) you must go to the International Shipping page in this site for specialized shipping requirements. Please certify that you have read those requirements when requesting a quotation for products to be shipped.
Handling Charges: Please note our "flat rate" handling charge is $2.75, which covers our toll free phone number and packaging in the continental USA. The international rate is $12.75.
Shipping Charges: Shipping charges are passed on to you exactly as charged to us. Charges vary depending on size, weight, and your location (zip code). Expedited delivery will add to shipping cost. Choose method of delivery below.