Hazemaker Pollen Sifter Boxes
4315 Firestone Dr
Houston, TX 77035
(832) 878-2918
www.hazemaker.com
hazemakerboxes@gmail.com

 
Name __________________________________________________________________________

Address _______________________________________________ Date __________________

City ______________________________  State  ___________  Zip  _________________

Email (optional) ______________________________________________________________

For orders to U.S. (48 Continental States Only)
---
ORDER $105 WORTH OF BOXES AND SHIPPING/INSURANCE IS FREE
(48 Continental U.S. States Only) !!
---
For International Shipping (including Alaska & Hawaii),
please use the International Order Form or Paypal.
  MODEL # / DESCRIPTION   QTY        PRICE   TOTAL        
       
  Sm      -     SMALL BOX
  $45.00
  Med   -     MEDIUM BOX
  $60.00
  Lg       -     LARGE BOX
  $75.00
  J         -     JUMBO BOX
  $125.00  

Box Shipping Rates:   up to $45: $6              $45.01 - $104.99: $10              $105 and up: FREE SHIPPING
     
  6M     -     SMALL SCREEN 6" Sq.
  $9.00 (+ $5 s/h, up to 10/pack)
  12M   -     MEDIUM SCREEN 12" Sq.
  $16.00 (+ $6 s/h, up to 10/tube)
  16M   -     LARGE SCREEN 16" Sq.
  $22.00 (+ $7 s/h, up to 10/tube)
  24x12M   -     RECT. SCREEN 24" X 12"
  $25.00 (+ $6 s/h, up to 10/tube)
       

Box Shipping  

ALL BOXES ARE INSURED !                                               Sub-Total  

8.25% Sales Tax (Texas Residents only)  

Total Enclosed  

Special Instructions:

EXCELLENT Packing !!
Please make check or money order payable to Hazemaker Boxes.