Order Form

NAME:________________________________________________
ADDRESS:_____________________________________________
_____________________________________________________
CITY:______________________STATE:_______ZIP:_________
PHONE:(______)_________________________DATE:_________
Payment Method:__Check __Money Order __Visa __MasterCard__Discover__AmEx
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __Expiration Date:_____/______
Authorized Signature:________________________________

ITEM #	Description	Quantity	Unit Price	TOTAL PRICE
____________	_____________________________________	_______	________	_____________
____________	_____________________________________	_______	________	_____________
____________	_____________________________________	_______	________	_____________
____________	_____________________________________	_______	________	_____________
____________	_____________________________________	_______	________	_____________
TOTAL				_____________
Tennessee Residents add 8.75% tax				_____________
Shipping (see below)				_____________
Grand Total				_____________

All orders to AK, HI, PR, must add 2nd Day Air

Shipping & Handling:
$0 to $40 ADD............$05.75
$41 to $75 ADD..........$08.00
$76 to $150 ADD........$12.00
$151 and up ADD........$17.00

*** Canadian Orders Please Double Shipping ***
*** UPS Next DAY is $35.00 Additional ***
*** UPS 2nd DAY is $20.00 Additional ***
*** UPS 3 Day Select is $10.00 Additional ***
Bo/Jo staffs, Spears and Halberds can not be shipped by Air.

Click here for Overseas Shipping Instructions
NOTE: All Orders must be made in US Dollars
UPS will not deliver to a P.O. Box
You must be 18 years old to purchase or have a parents signature on
the order form confirming it is OK that you purchase the above items.
Print this form, and send with payment to:

Imperial WeaponsTM
53 Brentmeade Dr.
Jackson, TN 38305
imperial@imperialweapons.com

Phone:
(731) 664-5774
(888) 407-0296
US Orders Only
Or, Fax to:
(731) 668-4011