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.