Khan Imports -  Print Order Form (For Mail or Fax Orders)

Toll Free 800-260-1064  •  Tel. 805-967-8050  •  Fax 805-967-7128
Mail To:  126 N. La Patera Lane, Goleta, CA 93117-1512 U.S.A.
E-mail:  info@khanimports.com  /  Website:  www.khanimports.com
Name:
Billing Address:
City: State:     Zip:
Shipping Address:
City: State:     Zip:
Phone: ( ) Fax: ( )
E-Mail: Date:
Method of Payment: VISA _____ MC _____ Discover _____ AMEX _____
Money Order _____ Personal Check _____ (Will delay order 10-14 days.)
Account Number:_____________________________________ Exp:_________
Signature:_______________________________________________
Method of Shipping: (UPS Ground shipping is FREE for orders over $100.00!)
UPS Ground ___ UPS 3 Day___ UPS 2 Day Air ___ UPS Next Day ___


Item # Description (Inc. Type of Stone or Color) Qty. Price Total
         
         
         
         
         
Merchandise Total:           
CA Residents add 7.75% Sales Tax:           
(If Any) Shipping Charges:           
Total Order:           



Purchase Amount UPS Ground 3 Day Select 2 Day Air Next Day Air
Shipping Time2 to 6
Bus. Days
3
Bus. Days
2
Bus. Days
1
Bus. Day A.M.
Up to $30.00 $6.95 $10.95 $14.95 $29.95
$30.01 - $50.00 $6.95 $14.95 $19.95 $34.95
$50.01 - $80.00 $6.95 $19.95 $29.95 $49.95
  $80.01 - $100.00 $6.95 $21.95 $34.95 $54.95
$100.01 - $140.00 FREE! $25.95 $39.95 $59.95
$140.01 - $180.00 FREE! $29.95 $44.95 $64.95
$180.01 - $220.00 FREE! $34.95 $49.95 $69.95
$220.01 - $260.00 FREE! $39.95 $54.95 $74.95
$260.01 - $300.00 FREE! $44.95 $59.95 $79.95
Over $300.01 FREE! Pls. Call Pls. Call Pls. Call