**2003 INTERNET Order Form, effective October 1st, 2002 _______________________________________________________________________ Louisiana Cypress Products PH: (318)495-5450 217 Sterns Rd. FAX (318)495-5727 Olla, LA 71465 Wa accept Visa, Mastercard, Discover, and Check. Please make checks payable to Geneva Hays. PLEASE COMPLETE INFO BELOW AND WRITE OR FAX TO THE LOCATION LISTED ABOVE. SINGLE POINT KNEES: (6 KNEE MINIMUM ORDER) QTY SIZE PRICE TOTAL QTY SIZE PRICE TOTAL ___ 6" $2.50 ______ ___ 22" $10.50 ______ ___ 8" $3.50 ______ ___ 24" $11.50 ______ ___ 10" $4.50 ______ ___ 26" $15.00 ______ ___ 12" $5.50 ______ ___ 28" $18.00 ______ ___ 14" $6.50 ______ ___ 30" $22.00 ______ ___ 16" $7.50 ______ ___ 32" $26.00 ______ ___ 18" $8.50 ______ ___ 34" $30.00 ______ ___ 20" $9.50 ______ ___ 36" $36.00 ______ TOTAL(sum of all TOTAL above)=_____________ WHAT DO YOU PLAN TO DO WITH YOUR KNEES? (Please check all that apply) ____- Carve ____- Paint ____- Woodburn ____- Taxidermy ____- Floral ____- Lamps ____- Clocks ____- Other DOUBLE POINT KNEES (NO MINIMUM ORDER): The price of double pointed knees is figured by adding the cost of the two points, plus 5 dollars. DOUBLES: (NO MINIMUM ORDER) QTY HGHT PT#1 HGHT PT#2 SUBTOTAL SPEC.CHG TOTAL ____ _________ _________ ________ $5 ________ ____ _________ _________ ________ $5 ________ SHIPPING CHARGES(30" and over shipped actual UPS charges): 6 knees-$7 10 knees-$10 15 knees-$14 20 knees-$15 TOTAL ORDER AMOUNT: $______ PLUS $_____(S/H)= $ ______TOTAL YOUR NAME:____________________________________ ADDRESS: ____________________________________ ____________________________________ ____________________________________ PHONE: (____)______-________ EMAIL: ______________________________ PAYMENT TYPE:(Please check one) VISA_____ MASTERCARD_____ DISCOVER______ CHECK______ ACCOUNT NUMBER: _______________________________ EXPIRATION DATE OF CARD: ______________________ Dear Customer, your e-mail address is very important to us please include it if possible on every order. **NOTE: To print this form, go to your 'File' menu and select 'Print'.