tarock.net                 order form for check or money order
4315 Commerce Dr. Suite 440-310
Lafayette IN 47905

 (For checks and money orders, please allow 2-3 weeks for delivery.)

Please print your order using our current online prices.  Thank you!

QTY

Description - (P=Pack, GS=Gift Set)

$each

$subtotal

Subtotal

  

Shipping 

  

Items being mailed to an Indiana address add 7% sales tax

  

TOTAL

  
Order total Shipping cost Mailing Address:
$0.01-9.99 $0.95

Name:
10.00-49.99 $4.25

Address:
50.00-99.99 $5.25

City, ST Zip:
100.00+ $6.25

Telephone:

Email:

Please make check or money order payable to tarock.net            Thank you!