Money Order or Check Order Form

Money Order - Order Form

Name: Telephone: Email:	Name: Telephone: Email:
Purchaser Address:	Ship Address:

Qty.	Item No.	Description	Unit Price	Total

PAYMENT INSTRUCTIONS Print this two page form, fill it out accurately, and email it to steellace@ymail.com. Once your order has been approved, then further instructions via email will follow. Please read the ordering and payment terms defined on page two of this form before placing your order. Should more space be needed than what is allowed, please print additional pages.	Subtotal

	(See Shipping Chart) Shipping
	(Optional: See Shipping Chart) Insurance
	TOTAL AMOUNT DUE
	This form is for Money Order or Personal Check purchases only. Steellace.com only accepts credit card purchases using Paypal.com.

TERMS

Please allow up to three weeks for shipment.
No returns or refunds on clothing or toys.
Please be sure the order form is filled out accurately and the correct amount has been sent. Mistakes will result in slower processing of your order.
Please be sure to include a telephone number or email address in case there is a problem with the order or order form.
All information provided to Steellace.com is strictly confidential and will not be shared, sold, or given away.
Please write to steellace@ymail.com or call 214-232-8368 with any questions you may have BEFORE placing an order.
Steellace.com is not in the business of selling products of an adult nature to persons under 18 years of age. By printing off this order form and sending in an order, the buyer (s) attests that s/he is at least 18 years of age and that the person (s) to whom the products are to be sent are also at least 18 years of age.
Steellace.com does not force people to buy or use its products and it will not consider itself responsible for any injury as a result of the use or misuse of any item it sells.

Shipping & Insurance Chart
All merchandise is shipped via the U.S. Postal Service.
Steellace.com will ONLY ship to the United States & Canada with this form.

Amount of Purchase
$.01 to $9.99........................................................$1.95
$10.00 to $49.99..................................................$5.95
$50.00 to $99.99..................................................$8.95
$100.00 to $199.99..............................................$14.95
$200.00 & Over...................................................$25.95

Insurance (Insurance is optional.)
$.01 to $50.00......................................................$1.49
$50.01 to $100.00................................................$1.85
$100.01 to $200.00..............................................$2.20
$200.01 to $300.00..............................................$4.10
$300.01 to $400.00..............................................$4.90

NOTES