DISCOUNT CODE	(if applies)1/
SUBTOTAL $
DISCOUNT (-)	(if applies)1/
SALES TAX $ (4.5% in VA)	(only applies to Virginia purchasers)
SHIPPING & HANDLING $	($29 per each item, except  71005RIP is $15 and FREE shipping for videos, guides & aprons; $5.50 for Watershed Kit)
TOTAL ORDER $
Shipping charges apply to the continental U.S.; additional charges apply to Alaska, Hawaii, U.S. Virgin Islands, and international shipments . . . contact us. Canadian shipments $55 per unit. 2/ We do Special Promotions/Discounts throughout the year. The Code and Discount box are for those special promotions only.
PAYMENT METHOD   Check/Money Order Enclosed (payable to EnviroScape)    Invoice w/Purchase Order (#) CHARGE MY:  [SECURE SITE FOR CREDIT CARDS]   Mastercard   VISA   American Express    Card # Exp.    Name on credit card
SHIP TO: (All orders are shipped regular UPS. Please provide street address, no P.O. Boxes. Special shipping can be accommodated if requested.)
Name
Affiliation
Address
City/Province	State
Zip/Postal Code	Country
Phone
Fax
E-mail
How did you find out about EnviroScape (choose one)? Current User    Website Link/Organization:   SEARCH ENGINE: Yahoo  Lycos  AltaVista  HotBot LookSmart Overture Excite AOLSearch Webcrawler DogPile Google   Other: Referral: EnviroScape Sales: Erin Foster Carlene Bahler Judy Taggart Lura Svestka
Would you like to be added to our Email List to receive specials and tips? YES   NO
Additional Comments:
SEND INVOICE TO: (only fill out if different from SHIP TO address)
Name
Affiliation
Address
City/Province	State
Zip/Postal Code	Country
Phone
Fax