Rio Rondo Enterprises --- Order Form --print this frame to mail in or use as a worksheet

Mail to: Rio Rondo Enterprises PO Box 111 Copeland, KS 67837 Phone: 620-668-5421 Fax: 620-668-5783 Visa, Mastercard, Discover & American Express Accepted

Name: _________________________________________________________ Address: _________________________________________________________ _________________________________________________________ City: ________________________ State: __________ Zip: ____________ Phone: ________________________ Email: ________________________

Minimum Order is $10.00-- (not incl. shipping charges)

Card Number:	Exp Date:
Cardholder Name:	V Code (3 digits on back):
Cardholder's Signature:

QTY	- PART # -	UNIT	------- DESCRIPTION -------	SIZE	----- COLOR/MISC -----	PRICE EA.	-- TOTAL --

Shipping and Handling Rates: USA Shipments: Merchandise Under $60 Regular:  -   $5.50 Priority:  -   $7.00 Merchandise $60 - $99.99 Priority:  -   $5.50 Merchandise $100 or more Priority Shipping ppd. Canada: $6.50 Foreign: $10.00 If Items are out of stock: Backorder Issue Credit Refund Substitute a similar item (if applicable)

Merchandise Total ________ Shipping Charges ________ SUBTOTAL: ________ Kansas Sales Tax for shipments to KS addresses Subtotal x .059 + TOTAL DUE ________ www.riorondo.com