Order Form
Name: _______________________________________
Address: _______________________________________
City, State Zip: _______________________________________
E-mail: _______________________________________
Telephone: _______________________________________
   
Qty Stainless Steel: _____ x $6.95 USD each ______
Qty White Vinyl Coated: _____ x $6.95 USD each ______
 
Subtotal: ______
Tax: (TN residents 9.25%) ______
Shipping:
(Special: FREE Shipping on quantities of 6 or more OR $3.75 for up to 3 units
+ $1.25 each add'l unit)*		 ______
Total: ______

Please print this order form and send
along with your check or money order to:
Leto Product Development Company
510 Ridgewood Road
Franklin, TN 37064
For questions, please contact us at
sales@ScrubrRack.com or 615-595-0864
*Shipping charge shown are for continental US only.
For shipping outside the continental US,
please contact us.