stabilizer order form

YES, I would like to place an order for some HEADS-UP STABILIZERS:

School/Team:__________________________________________________________________________________
Name:________________________________________________________________________________________
Address:_______________________________________________________________________________________
City:____________________________________________ State:_______ Zip Code:________________________

Quantity	Item Description	Cost/ea.	TOTAL
	Individual HEADS-UP STABILIZER	$24.95 ea.
	Team/League HEADS-UP STABILIZERS (orders of 20 or more)	$19.95 ea.
	Additional FASGRIP fastener packs (cost includes shipping)	$5.95 ea.
	10 pack of FASGRIP fastener packs (save $10.00) (10 helmet and 20 shoulder pad FASGRIP packs) (cost includes shipping)	$49.95 (for 10)

Total Purchase Cost of:	Additional Shipping Charges of:
$0.01 to $13.99	$0.00
$14.00 to $49.99	$7.00
$50.00 to $99.99	$12.00
$100.00 to $199.99	$16.00
$200.00 and up	$24.00

Total Purchase of HEADS-UP STABILIZER's and/or FASGRIP packs plus shipping cost = $_________________

IN STOCK READY TO SHIP!!!
SAME DAY SHIPPING
RECEIVE ORDER IN 2 - 3 DAYS
(school purchase orders accepted)
Out of Stock items allow 2 to 4 weeks for delivery.
All Team and League orders of 25 or more Stabilizers require 1/2 of the TOTAL amount as a DEPOST
before your order will be placed. Once an order has been received you have 30 days to pay the balance due.
I have enclosed a check for the TOTAL amount purchased of $____________________
I have enclosed a check for 1/2 of the TOTAL amount purchased of $__________________
Please bill to the address above:______
All credit card orders must be processed on the internet at www.heads-upstabilizer.com

Make checks payable to: The Heads-Up Stabilizer
Send all completed Order Forms to:
The HEADS-UP STABILIZER
1599 Roxbury Road
Columbus, OH 43212
(614) 481-3409 email: customerservice@heads-upstabilizer.com

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