Steebar will ship your order in the best possible manner (Priority mail or UPS). Please provide both your mailing address and your actual location (if different) in case your order ships by UPS (United Parcel Service). Also, if you are paying by credit card, we must have the exact billing address for that card if different from your mailing address below. Please provide your daytime telephone number in case we have a question regarding your order.
Telephone (           )                                                       Is this your first order?  yes no                                        Date
Billing Address Shipping Address
Name Name
Street Street
PO Box  
City City
State                              Zip State                              Zip
ORDER ITEMS - PLEASE TYPE OR PRINT - THANK YOU
QTY Item No. Size Page No. Description Price Ea Total
             
             
             
             
             
             
             
             
             
             
             

SHIPPING RATE CHART
Insufficient postage may result in your order being sent COD for the balance. Excess postage will be credited. The following charges are for ground service to the 48 continuous states only.
$25.00 to $34.99 $6.90   $100.00 to $119.99 $11.50
$35.00 to $49.99 $7.50   $120.00 to $139.99 $12.50
$50.00 to $64.99 $8.50   $140.00 to $159.99 $13.50
$65.00 to $79.99 $9.75   $160.00 to $179.99 $14.75
$80.00 to $99.99 $10.50   $180.00 to $199.99 $16.00
$200.00 & MORE**SHIPPED FREE

**We pay all shipping charges on prepaid orders over $200.00 (EXCLUDING SELECTED ITEMS) shipped by ground service to the 48 continuous states. *INSURANCE: Guaranteed replacement within 24 hours of lost package with maximum value of $150.00. (MUST be included with all credit card orders)
CHARGE TO: VISA    MasterCard     Discover     American Express
CARD #               
EXPIRES (must have)
SIGNATURE


TOTAL
MINIMUM $25.00		  
BALANCE DUE (IF ANY)
FROM PREVIOUS ORDERS		  
SHIPPING CHARGE
FROM RATE CHART		  
EXTRA POSTAGE
FOR EPOXY RESIN		  
N.J. RESIDENTS
ADD SALES TAX		  
*INSURANCE $1.50
TOTAL ENCLOSED
DO NOT SEND CASH		  

THANK YOU!

Send to:

Steebar Corp.
P.O. 607
Peapack, New Jersey 07977
Phone: (908) 204-0095 
Fax: (908) 204-0099