Bill To: Ship To:

			Customer Phone No.
Order Info Select a Color(s)			Garnet Quantity 1 2 3 4 5 at $299.00 Sunset Violet Quantity 1 2 3 4 5 at $299.00 Dusk Violet Quantity 1 2 3 4 5 at $299.00 Royal Blue Quantity 1 2 3 4 5 at $299.00 Forest Green Quantity 1 2 3 4 5 at $299.00
Shipping Method			Ship Order (in USA) Choose Shipping UPS Ground US Mail	Ship Order (outside USA) Choose Shipping UPS International US Air Mail
Payment Method			Credit Card __Check
			Credit Card Type Visa M/C Amer. Ex Discover
			Card Number Exp. Date
Confirmation			Confirm my order by Choose Confirmation Phone Fax e-mail at
Comments / Instructions

Send checks or money orders to: Hyper-Designs, 621 Brademas Ct., Simi Valley, CA 93065 Please allow 2-3 weeks for delivery for standard color cues. Add an additional week for custom-color cues. Shipping and handling is a flat $25.00 charge for anywhere in the continental United States or a flat $35.00 charge for International addresses.