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Fill out the form and fax it to 303-759-3222. 
Date: ___________________________
Name: ________________________________________________

Delivery Address:

 ____________________________________________________________________________
  ____________________________________________________________________________
  ____________________________________________________________________________
  ____________________________________________________________________________
Items ordered:
Catalog ID (from web store) Cost/item Quantity Total
1.      
2.      
3.      
4.      
5.      
6.      
    Total  
    Estimated Shipping Cost:  
    ORDER TOTAL:  
Payment via:  [  ] Visa  [  ] Mastercard  [  ]American Express
Credit card #: __________________________________________________________________________________
Expiration date:  ____ / ____
Security code (3 digit code on the back of the card):  ________
Waiver of liability: I understand that shipping orders via the post office may result in my order being lost or damaged while in transit.  However, I do wish to have my order shipped via the mail and I therefore agree to assume all the risks (including loss of the order while in transit) . 
Signature: _____________________________________________________