Order Form
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Joel's Head Laboratories Order Form

Name
  
Company
  
Address 1
  
Address 2
  
City/State/Zip
  
Country
  
Telephone
  
E-Mail
  


Model
Quantity
Price Ea.
Total
JHL-      
JHL-      
JHL-      
JHL-      
Subtotal
  
Sales Tax
  
Excise tax
  
Luxury tax
  
Shipping/Handling
  
FRMF
  
 
T O T A L
  


Name on card
  
Number
  
Expiration
  

 

In all cases, incorrect values will be automatically adjusted by a JHL Customer Service Specialist.

Excise tax applicable in certain states only. Luxury tax applicable for orders over $100,000 only. Tax is 1%.

Shipping and handling:
Less than 150 lb = $5,000.00
Over 150 lb = $5,000.00 + $100/lb

The FRMF (Flesh Ribbons Memorial Fund) is a non-profit organization dedicated to the advancement of cloning science. Please give liberally.

Payments must be made via money order, cashier's check, or credit card.