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Money Order Accepted

Mail Order Form

If you prefer to pay by check or money order , please fill out the form below and mail it to the address provided at the bottom of this page.  As soon as we receive your payment we will ship out the products  immediately! Please be sure to follow the instructions below so we can avoid any shipping errors.


Customer Information

Name:

Company

E-mail:

Street:

City:

 

State/Province:

ZIP/Postal Code:

Country:

Tel:


Shipping Information     Same as the above information

Name:

Street:

City:

 

State/Province:

ZIP/Postal Code:

Country:

Tel:


Order Information

Item #

Item Name

1st Choice(Size)

2nd Choice

Qty

Unit Price

Total

 

Sub Total:

 

California Residents only, add 9.75% Sales Tax:

 

Shipping and Handling:

 

Grand Total:


Shipping Methods

Domestic USD only 
Ground  5-10 days: 

Item(s)price       S&H
($0-$10.99)          $6.98   
($11-$14.99)        $7.55
($15-$24.99)        $9.65
($25-$39.99)        $10.50
($40-$49.99)        $10.95   
($50-$74.99)        $12.95
($75-$99.99)        $14.95    
($100-$149.99)    $17.95
($150-$199.99)    $23.95   
($200-$249.99)    $24.98   
($250-$349.99)    $34.95
($350-$449.99)    $49.50   
($450-$599.99)    $89.95   
($600-$799.99)    $115.95   
($800-$5,000)      $134.98 


    
 Canada USD
USPS/Priority Mail 5-10 days:
($0-$49.99)          $29.95
($50-$99.99)        $49.95
($100-$199.99)    $69.95
($200-$299.99)    $89.95
($300-$500.00)    $129.95
oversized items may be adjusted according to package weight and destination.


International USD
USPS/Priority Mail 5-14 days:
($0-$49.99)         $39.95 
($50-$99.99)       $69.95 
($100-$199.99)   $87.95
($200-$299.99)   $129.95

($300-$500.00)   $154.95

 oversized items may be adjusted according to package weight and destination. 


Payment Information

Payment Method:

 

 

 

 

 

Name on Credit Card:

Credit Card Number:

Card ID Number:

(On the back of your card, locate the final 3 digit number. Amex: 4 digit number on the front of your card.)

Expiration Date:

(Month/Year)

Card Holder Signature:

________________________________________________

 

  • If paying by check, make check payable to: DIRECT SERVICES INTERNATIONAL, Inc
  • Orders paid by Personal Check will be held for minimum 10 business days
    for the check to clear.
  • Cashier's Check or Money Order will be processed immediately.

Comments:




Mail in this order payable to:
DIRECT SERVICES INTERNATIONAL, INC
445 Capricorn Street Suite B
Brea, CA 92821

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