Address: 1319 S. Cougar Dr. 
              Moses Lake, WA 98837
E-mail:    cs@yepey.us 

FAX ORDER USING YOUR CREDIT CARD.

FOR FAX ORDER. Please fill up this order form and fax it. 1-509-765-0272. Available anytime. For MAIL ORDER, Click here.
Name:     
Address:  
E-mail:    
Phone:     
Date:      
Item # Description Quantity Total
$
$
$
$
$
$
$

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Total Purchases after discount:

 $
Add $8.95. for Shipping and Handling charges for Orders up to $74.99 and FREE shipping for Orders $75.00 and above. $

Total amount you need to pay.

 $
MODES OF PAYMENT (Check one please)
VISA MasterCard
Credit Card Information
Name on Card:
Credit Card Number Expiration Date: MM,YY C.I. D. CODE. The C.I.D. code is the last 3 digit numbers on the back of your credit card.
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Signature________________________________________   Date: ___________________
 
bulletOrder Ship within 48 States in U.S.A. - our carrier is UPS (Ground). Rush Shipping is Available!
bulletOrder Ship to Hawaii, Alaska, Guam, Virgin Islands and Puerto Rico - Our Carrier is USPS (Postal Office). No Rush Shipping is Available!
bulletOrder Ship to Other Countries - Our Carrier is USPS (Postal Office). Rush Shipping is Available!

Registered Trade Names: YEPEY
Licensed as Sole Proprietorship
Web: www.yepey.com
Address: 1319 S. Cougar Dr., Moses Lake, WA 98837-9799 USA