Please complete the following form for the items you wish to order. Your order will be shipped immediately upon receipt of your payment. Cosmopolitan Image uses Paypal for billing and payment of all items purchased. When we receive your order we will send you a Paypal link to pay for your purchase. If you don't wish to use Paypal, please call us with your credit card number. If you wish you may fax your order to the number listed or you can print out your completed order form and mail it with your payment. Please see our Terms & Conditions for returns, exchanges and credits.

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Style/Item#	Color#	Qty	Description	Price Ea.	Total
Shipping & Handling Charges * Items over 20 lbs require additional S & H costs				Merchandise Total
Up to $30.00 $6.95 $30.01 - $60.00 $7.95 $60.01 - $90.00 $9.95 $90.01 - $120.00 $11.95 $120.01 - $200.00 $16.95 $200.01 - $1,000.00 $21.00 Over $1,000.00 $23.00				MN Residents Add 6.5% Tax Sub-Total
Shipping & Handling
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