Order Form - print from your browser, and fax or mail.
Straightforward 11918 Millpond Court Manassas, VA
22111-3283
Phone - 1.703.791.6421 Fax - 1.703.791.6522
Name:_________________________________________________________________
Street:_______________________________________________________________
City:___________________________________ State:______________________
Zip:____________________________________ Phone:______________________
Qty Code Description Amount
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Subtotal:_______________
Less any discount/credit:_______________
Virginia Residents add 4.5%:_______________
First Class Shipping and Handling - $6.50:_______________
Subtotal over $50/100 add $2/4 for additional shipping:_______________
UPS Second Day Air - Add $6.00:_______________
UPS Next Day Air - Add $15.00:_______________
Total Enclosed:_______________
Make payment payable to Straightforward. U.S. funds only.
Payment Method: (circle one)
Check Money Order VISA Mastercard
Card #:_____________________________________ Exp. Date:_______________
Signature:____________________________________________________________
For checks, please provide your Driver License number and your phone
number for approval. The delivery address must match the address on
your check.