Kal-Care 905 E. State Hwy 33 Crete, NE 68333 Phone (402) 826-4278 Fax (402) 826-4288 www.kal-kare.com

MAIL / FAX ORDER FORM

Order by: (billing address) Name	Ship To: (UPS does not ship to a PO box. we must have a street address for UPS to deliver your order) Name
Address	Address
City, ST Zip Code	City, ST Zip Code
Phone	Phone
Email Address

Method of Payment	Credit Card Number	Exp. Date	Signature Required for Credit Card Purchases
____MasterCard ____Visa ____American Express ____Discover ____Check/Money Order
		CVV2

QTY

Prod # / SKU

DESCRIPTION

UNIT PRICE

TOTAL

Shipping Fees

Shipping Methods for the 48 contiguous states Standard: Retail Orders Wholesale: Wholesale Orders

Retail orders only Shipping Method for: 2^nd Day Air & COD (OR) AK, HI, Canada & PR

Standard	Shipping	For Order of
For Order of		up to $13.70	$18.90
up to $5.00	$4.50	up to $43.70	$26.39
$5.01 to $49.99	$5.99	up to $73.70	$33.63
$50.00 and Above	Free	up to $113.70	$40.62
		and Above	$47.11
Wholesale Shipping is figured per order by weight. All wholesale orders are shipped via UPS. The shipping will be added to your invoice.

SUBTOTAL

SALES TAX

NE Residence add 5.5%

SHIPPING (chart to left)

Total

We ship UPS whenever possible. Please make sure that you provide a complete street address as UPS will not deliver to a PO Box. If you are using a credit card and your billing address and shipping address are not the same please insure that you have provided both.