1) SOLD TO:
See below for APO, FPO & Foreign shipping information.
NAME:
 ______________________________________________________
ADDRESS:
 ______________________________________________________
CITY:
 ______________________________________________________
STATE:
 ______________________________________________________
ZIP:
 ______________________________________________________
PHONE:
 ______________________________________________________
 
 2) SHIP TO: If different from SOLD TO
 See below for APO, FPO & Foreign shipping information.
NAME:
 ______________________________________________________
ADDRESS:
 ______________________________________________________
CITY:
 ______________________________________________________
STATE:
 ______________________________________________________
ZIP:
 ______________________________________________________
PHONE:
 ______________________________________________________
PHONE:
 ______________________________________________________
 
Phone Your Order

1-817-505-1036
Between 12 noon and 9pm

Mail Your Order
L.P.H.S.
P.O. Box   # 144
Keene, Texas 76059-0144
 3) Payment Method
Please check if confirming a phone order
Check or Money Order
Allow up to 5 days for checks to clear.
Discover
Visa
MasterCard
American Express
Card No. ______________________________
Exp. Date ______________________________
Signature ______________________________
 4) Qty
Item Name
 Description
Item Price
Total Price
Office Use
           
           
           
           
           
           
5) Merchandise Total
  
   
Shipping charges are below.
Show total with shiping charges included from chart below.		  
6) Grand Total
  

 USPS Shipping


For orders received by 1:00 PM Central Time we can usually ship the same day.

All shipping charges are
$3.85 for domestic in the USA
$5.50 for global priority mail international orders.