Ozzie Dots
Priority
Mail Shipping
Chart
Item Total
Total
Shipping
$0 - $49.99
$5.50
$50 - $99.99
$12
$100 - $199.99
$20
$200 and up
$30
4637 Hollywood Blvd • Los Angeles, CA 90027 • Phone (323)663-2867
Fax (323)663-0501 PLEASE NOTE: All Sales Are Final
DATE: Other Shipping Methods, please e-mail us for totals
SHIP VIA:
 Priority Mail - US Only
BILLING ADDRESS:
(Must match credit card information)
SHIPPING ADDRESS:
(If different from billing address)
Name:
Name:
Address:
Address:
City:
City:
State:
Zip:
State:
Zip:
Phone:
Phone:
Fax#:
Fax#:
Item #
 Product Description Quantity Price Total
1.
2.
3.
4.
5.
6.
7.
8.
9.
See shipping chart at top of page * California residents please add 8.25% sales tax.
PAYMENT BY:
 Visa Mastercard American Express
Subtotal
Credit Card Number:
Shipping
Expiration:
Billing Zip Code:
Tax*
Exact Name On Card:
TOTAL DUE
American Express ID#:(example)
Business Resell #:
Please print this invoice and sign it before faxing. Thank you for your order!
Fax (323)663-0501 - to print click here