SUBMIT TO:
VOIGT GLOBAL DISTRIBUTION INC
P.O. Box 1130
Lawrence, Kansas 66044-8130 USA

                THIS DOCUMENT IS FOR ORDERS WITH CASH PAYMENT SENT BY THE US POSTAL SERVICE ONLY
NOTICE THE FOLLOWING:
All payments must be in US Dollars. We do not accept foreign currency. Payments accepted by mail include certified cashiers checks
and money orders only (drawn on a US or Canadian bank ). WE DO NOT ACCEPT PERSONAL CHECKS OR COD.
Item No.  Quantity Description Price Each Total USD
         
         
         
         
         
         
         
         
         
         
         
         
Goods Subtotal  
Kansas Sales Tax (for Kansas residents only) (7.25%)  
Importation Taxes ( for customers outside of the USA - must be confirmed in advance)  
Requested Shipping Method (must be confirmed in advance)  
Shipping Charges (must be confirmed in advance)  
TOTAL  

SHIPPING & CONTACT INFORMATION

Recipient Name:
Business Name (if applicable):
Address:
City & State (Province):
Zip Code (Postal Code):
Country:
Daytime Telephone Number:
E-Mail Address: