Flint Hills Laser Expressions, LLC.
912 Commercial
Emporia, KS 66801
(620)342-2822
www.FlintHillsLaserExpressions.com
FHLE@cableone.net

Bill To: Ship To: (Please complete if different from the billing address)
Company Company
*Name *Name
*Address *Address
*City/State/Zip *City/State/Zip
Daytime Phone Number Daytime Phone Number
*Email address:    

Non-Personalized Products:
Item Qty Size Color Description Price Total
$ $
$ $
$ $
$ $

Personalized Products:
Item Qty Size Color Description Price Total
$ $
Personalization and Special Instructions

Item Qty Size Color Description Price Total
$ $
Personalization and Special Instructions
Thank you for your order. We try to respond to all order requests within 72 hours. If you have not heard from us or need quicker response please call. (620) 443-5501
Subtotal: $
Shipping and Handling: $
Subtotal: $
Orders shipped to Kansas Select 7.8% tax: Check if KS resident
Total Amount Due:
(Subject to change with finalized order)
$
Delivery Charges:
Orders will include the following amount for shipping within the Continental USA. Please call for international orders and shipments to Alaska and Hawaii.

Shipping & Handling: (Standard Ground 7-10 business days) Payment Method: Please check one
$0.01 - $30.00 $6.95 Cashiers Check or Money Order
$30.01 - $50.00 $9.95 Check
$50.01 - $100.00 $12.95 MasterCard (through PayPal)
$100.01 - $200.00 $15.95 Visa (through PayPal)
$200.01 - up $25