Order Form Please mail your orders to: usmilitaryonline.com, inc. 365 Boston Post Road, #125 Sudbury, MA 01776		email questions to sales@usmilitaryonline.com
Ordered by: Name_________________________________ Address_______________________________ City_______________ State_____ Zip_______		Ship to: Name_________________________________ Address:______________________________ City_________________ State____Zip______
e-mail address: ______________________________________________ Daytime Phone: ____ ____ ____ - ____ ____ ____ - ____ ____ ____ ____
Item Description	Color/Size (if applicable)	Qty.	Price	Qty x Price =Total price
Merchandise Totals ¨ Shipping Costs 0.00 - 17.00...........................6.95 17.01- 25.00...........................7.95 25.01 – 35.00......................…8.45 35.01 – 45.00..........................9.45 45.01 – 55.00 .......................10.95 55.01 – 65.00 ......................12.45 65.01 – 75.00........................14.95 75.01 – 85.00 ………….……16.95 85.01 – 99.99..………….…...17.95 100.00 an up …………………free!			Merchandise Total
			Mass. residents add 5% sales tax (all items except clothing)
			Shipping/Handling (see table at left)
			TOTAL
Method of Payment ___ Check/Money order ___ American Express ___ MasterCard ___ Visa Please make checks/ money orders payable to: usmilitaryonline.com, inc. ___ - ___ - ___ - ___ / ___ - ___ - ___ - ___ / ___ - ___ - ___ - ___ / ___ - ___ - ___ - ___ Signature as appears on your credit card________________________________ expiration date_______________ Thank you for your order !