Manual Order Form

Southern Specialties
224 Hwy 87 Bypass N Cochran GA  31014
Phone: 706-219-1861 Fax: 888-816-0980
E-mail: sales@lockpicktools.com

To order our merchandise:

1. Print out this order form.
2. Complete our order form - mail or fax the form back to us.
3. Enclose your payment with form. We accept MasterCard, Visa, Discover, Money Orders, and checks (all checks are held for 14 days before orders are processed).

4. Make check or Money Orders payable to: Southern Specialties
5. Fax your order to us with the credit card information filled out to 706-219-1862. Our fax machine is on 24 hours a day.
6. All International orders should be called in or faxed in with a credit card. CONTACT US FOR SHIPPING OUTSIDE THE UNITED STATES
7. Send your orders to our mailing address at: Southern Specialties PO BOX 861 Cleveland, GA 30528

 

First Name:____________________________ Last Name:____________________________

E-mail address: (if any)_________________________________________________________

Shipping Address:_____________________________________________________________

City, State, Zip________________________________________________________________

Telephone:____________________________________________

Fax, If any:___________________________________________

We need a street address to ship your orders by U.P.S.

Item No.   Quantity                   Item and Description                                      Our Price

________ - _____-______________________________________________________-___________

________ - _____-______________________________________________________-___________

________ - _____-______________________________________________________-___________

________ - _____-______________________________________________________-___________

________ - _____-______________________________________________________-___________

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                                                                                           SubTotal - ___________

                                                           7% tax (GEORGIA residents only) -__________

                                                   Shipping & Handling in U.S. (see chart) - __________

                                                                             Purchase Grand Total -__________

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Shipping & Handling Chart (USA)

0 - $20.00
$12.95

$20.01 - $50.00
$13.95

$50.01 - $100.00
$14.95

$100.01 - $150.00 
$15.95

$150.01 - $250.00
$16.95

$250.01 - $500.00*
$19.95

*Orders over $500 please email for shipping cost.

Shipping & Handling on all International orders are shipped by U.S. Postal Service. Please contact us for shipping & handling charges.

Please charge to my: Visa Card_____ Master Card_____ Discover Card_____

Name on the credit card:______________________________________________

Credit Card number:__________________________________________________

CVV number on back of card:____________ Expiration date_______/________

Signature:__________________________________________________________