Lockpick Tools Order Form

Southern Specialties 2002
PO Box 861 Cleveland, GA 30528
Toll Free 866-495-1861 -- Fax: 706-219-1862
706-219-1861 for Over Seas callers
E-mail: info@lockpicktools.com

To Order our merchandise:

Print out this order form!!!
Complete our order form and mail or fax the form back to us.
Mail in your orders by Money Order, Cashier's Check, check (all checks are held for 14 days before orders are processed), Visa, M/C, Discovers.
Make check or Money Orders payable to : Southern Specialties
Fax your order to us with the credit card information filled out to 1-866-868-1862 , our fax machine is on 24 hours a day.
All International orders should be called in or faxed in with a credit card.
CONTACT US FOR SHIPPING OUTSIDE THE UNITED STATES
Send your orders to our mailing address at:

© Southern Specialties 2002
PO Box 861 Cleveland, GA 30528
Toll Free 866-495-1861 -- Fax: 706-219-1862
706-219-1861 for Over Seas callers
E-mail: info@lockpicktools.com

CONTACT US FOR SHIPPING OUTSIDE THE UNITED STATES

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:

______ - _____-__________________________________-___________

-----------------------------------------------------------------------------------------------

SubTotal - ______________________________________-__________

7% tax (GEORGIA residents only)_____________________-__________

Add (see chart) for shipping & handling in U.S. & Canada only __________-___________

Orders over $500 or orders for export - e-mail for charges	Shipping & Handling
Purchase Total	USA
0 - $20.00	$8.95
$20.01 - $50.00	$10.45
$50.01 - $100.00	$11.50
$100.01 - $150.00	$12.60
$150.01 - $250.00	$15.40
$250.01 - $500.00	$17.95

Total Enclosed_____________________________________-__________

Shipping & Handling on all International orders are shipped by U.S. Postal Service & are billed by a credit card number.

Please charge to my Visa Card:_____
Please charge to my Master Card:_____
Please charge to my Discover Card:_____
Name on the credit card:___________________________________________
Credit Card number:______________________________________________
CVV number on back of card_______________________________________
Expiration date:__________________________________________________
Signature:______________________________________________________
Card Bank Name_________________________________________________