Novelty Gifts, Chocolates, Brain & Mind products by Trusayco

CHECK PAYMENT ORDER FORM

Please fill in the following information completely and then press the submit button at the end of the form.
(If you have problems using this form, you may also call us at: 516-546-6537

Important note about express air or overnight deliveries...

Express Delivery - (3-5 Business Days) add an additional 7.95
Rush Delivery - (2-3 Business Days) add an additional $12.95
Overnight Delivery - (24 Hours) add an additional $19.95

Please send payment in U.S. funds to :

Trusay Co. Ltd.
218 Gordon Place
Freeport, NY 11520

Billing Information:

Your Name:
Address:

City:
State:	Zip Code:
Country: If not USA

Ship To: Check if same as billing

Name:
Address:

City:
State:	Zip Code:
Country: If not USA

Contact Information:

Phone number: (with area code)
E-mail address:

Shipping Fees & Sales Tax:

Standard Shipping & Handling
(Delivery in 4-7 business days)

$0	to	$30.00	...	add $7.99
$30.01	to	$80.00	...	add $12.99
$80.01	to	$120.00	...	add 15.99
$120.01	&	Over	...	add $19.99

If you live in NY State add state and county tax

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