Earthwing Order Form
Date____________
     
UPS Shipping Address
Mailing Address (if different)
     
Business Name _____________________   ____________________________
Address___________________________   ____________________________
__________________________________  

____________________________
City/State/Zip_______________________    
__________________________________   Purchase Order # ______________
Phone_____________________________    
Fax_______________________________   Email ______________________
   
(to receive product updates and special offers)
Ordered by_________________________    
     
Item #
Qty
Description
Price each unit
Total
         
         
         
         
       
         
         
         
         
         
         
  Subtotal  
MA Residents  
Add 6.25% tax  
Shipping  
Charges  
   
TOTAL  
 
Method of Payment
Shipping Charges
_____Check or Money order enclosed
For continental US only
_____VISA.____Mastercard
 Orders under $100..…$12.95
Card Number: _________________________
 $101-500……......……$24.95
Exp. Date: ____________________________
 $501-1,000…….....….$38.95
Code: __  __  __
 $1001-$2000...............$49.95
  $2001-$5000...............$64.95
Signature________________________________
 Over $5000….….………Call
Express Shipping also available.
Hawaii, Alaska and International Customers call for shipping charges.

 
Add Appropriate UPS Shipping & Handling Charges to Order:
Shipping charges are for lower 48 states only.
Hawaii, Alaska and International customers contact us for shipping charges
Next day air is available for an additional charge.
 
Refund policy: If for any reason you are not completely satisfied with your purchase, return the item within 30 days for a refund. Please include copy of Invoice along with reason for return. Returns can not be shipped C.O.D. Return address is: Berkshire Products Inc, 11268 Frick Road Sterling, Ohio 44276
Berkshire Products Inc.
11268 Frick Road
Sterling, Ohio 44276