KING'S CORNER STORE
ORDER FORM

Name:________________________________________________________________________

Street:_______________________________________________________________________

City/State/Zip:_________________________________________________________________

Telephone:___________________________E-mail:____________________________________

Washington State residents please add 8% sales tax.

Merchandise usually shipped via UPS within two business days.
Shipping Charges: Merchandise Total up to $99.99 = $10.00.
$100.00 and up = 10% of Merchandise Total

ITEM DESCRIPTION	QUANTITY	PRICE EACH	TOTAL
		Shipping
		Sales Tax
		Total

Print this page, make check or money order payable to Sedelmeier Custom Case Company, Inc. and mail to:

LUEBECK HAUS
3009 West Ames Lake Drive, N.E.
Redmond, WA 98053

Email: cataloguesales@luebeckhaus.com