JT's Stockroom -- Order Form

JT's Stockroom
2807 W. Sunset Blvd, Los Angeles, CA 90026
Phone 800-755-8697 or 213-484-3882
Fax 800-357-8697 or 213-484-8677

Your Billing/Mailing Address:

Name:

Street:

City, State, Zip:

Phone number (required for COD and Credit Card Orders):

Your e-mail address (optional):

Shipping Address (If different from Mailing Address):

Name:

Street:

City, State, Zip:

Items Ordered:

Item Number:

Item Description:

Quantity:

Item Price:

Total Price:

Subtotal:

Sales Tax (California only), 8.25%:

Shipping Charge (from table):

Add $9.00 if ordering COD:

Total:

Payment Options:

Credit Card, COD, or Check/Money Order.
Please note: First-time and Express COD orders must be paid for with a money order or cashier's check. All orders paid by check are subject to a 10 day hold.

Credit Card Customers please give the following info:

Type of Card:

Card Number

Expiration Date:

Name as it appears on the card:

Age Statement:

Are you 18 or older?

Please tell us how you heard about us:

Would you like to be on our confidential mailing list for catalog mailings?