Order Your Cosmos Gear Here
*Fill in the form completely, then print and mail along with a check or money order to:
COSMOS SOCCER
PO Box 235
Northvale, New Jersey 07647-0235
*Please see available colors and stzes on item description page before filling in appropriate information!*
STORE POLICIES
Please read store policies before placing any orders!
Date:
Name:
Address:
City: State: Zip:
Day Phone: Evening Phone:
Email Address:
*Shipping address if different than address above*
Address:
City: State: Zip:
Item #
Qty
Description
Color
Size
Price Each
Total
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Subtotal:
New Jersey Residents Add 6% Sales Tax:
Shipping: (see chart below)
Total:
SHIPPING and HANDLING CHART
DOMESTIC
Dollar Value $0-$25 $25.01-$50 $50.01-$100 $100.01-$150 $150.01-$200 $200.01-$250 $250.01 & up
Shipping $5.99 $6.99 $7.99 $8.99 $9.99 $10.99 $11.99
INTERNATIONAL
Dollar Value
$0-$150
$150.01-$300
$300.01-$450
$450.01-$600
$600.01-$750
$751.01-$1000
Over $1,000
Shipping
$45
$55
$75
$95
$125
$150
$200
Payment: Check Money Order
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