Order Form

Catalog No.	Description	Qty	Price @	Subtotal
			Purchase Subtotal
			+ Shipping (Larger: $10 or 20% of purchase subtotal)
			+ Due (from previous orders)
			- Credit or Discount (specify)
			Subtotal
			+ Tax 8.0% (WA residents only)
			Total Payment

Your Name:

Address:

State: ZIP:

Telephone:

fax, email, or other contact:

special shipping instructions:

.

" FILL OUT AND KEEP THIS PORTION FOR YOUR RECORDS

Items Ordered
1.
2.
3.
4.
5.
Date of Order____/____/____
Total Paid $_________ Check No._______

Notes

N SHIPPING & HANDLING Most of our merchandise is either perishable (bees) or fragile. Therefore we ship exclusively in rigid boxes and by Priority US Mail. We will ship UPS or FedEx on request on your account only. Indicate special shipping instructions plus UPS or FedEx account number under your address on reverse side. Add $5.00 special handling to this order under ≥Shipping≤.

SORRY-- NO SHIPMENTS OUTSIDE THE U.S.A.

Pardon our odd boxes! We ship in reused cartons and pack with reused newspaper, reused foam, and other environmentally friendly materials.

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Entomo-Logic
21323 232nd St. SE / Monroe, WA 98272-8982
(360) 863-8547 info@entomologic.com
www. entomologic.com