Use this form to simplify the ordering process by phone, fax, mail, or e-mail

Call toll Free: 1 800 547-2741	Fax Order line: 1 (541) 929-2164
Mail To: Zenith 4 The Planet PO Box 1739 Corvallis, OR. USA 97339	E-mail:sales@zenith4theplanet.com

Zenith 4 The Planet Order Form

Product Description	size	Qty	Price Ea.	Total Price	Ship Wt	Shipping Charges:
______________________________	_______	________	__________	___________	_________	Total the weight of
______________________________	_______	________	__________	___________	_________	your order, then
______________________________	_______	________	__________	___________	_________	round any fraction of
______________________________	_______	________	__________	___________	_________	a pound up to the next
______________________________	_______	________	__________	___________	_________	whole pound
______________________________	_______	________	__________	___________	_________
______________________________	_______	________	__________	___________	_________
			Subtotals	$__________
		Ground	Ship Chrg	+__________	$4.00 basic	rate + $0.35 per lb.
Optional	2nd	day Air	Ship Chrg	+__________	$8.00 and	$1.50 per lb
		Order	Total	$__________

Name__________________________	ID#______-____-_______	Date______________
Address________________________	City____________________	State________ Zip________

Visa/ MasterCard #_______ _______ _______ _______

exp date ____________