Highlander Mail In Order Form

Order by check or money order by printing out this order form and mail it to us with payment made payable to Highlander  

FOR PROOF OF AGE, A COPY OF A VALID DRIVERS LICENSE IS REQUIRED WITH ALL MAIL-IN ORDERS.  WE WILL NOT PROCESS ANY ORDERS WITHOUT THIS INFORMATION

Questions? Call 1-888-849-9764

 

 

 

Description

Quantity

Price

Total Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal:

 

 

 

Shipping 

 

 

 

Insurance (if applicable)

 

    Grand Total:  

Name:______________________________________________________________________

Address:____________________________________________________________________

City: ________________________ State:__________ Zip:_______________________

Phone #: ______________________________

E-Mail Address: ________________________________________

Payment type: __________________________

By signing below I state that I am 18 years of age or older.

Signature required: _______________________________________________________

Please make checks or money orders payable to Highlander.  Mail to 370 Fair Oak St. Salamanca, NY  14779.

Priority Mail Shipping costs are as follows:  

Zone 1, (NJ, OH, PA, IL, MA, ME) 1 carton: $4.00 - .75 per carton thereafter. 

Zone 2, 3, 4: (CT, DE, DC, MD, MI, IN, KY, NH, NC, RI, SC, TN, VA, VT, WV, WI)  1 carton: $4.00 - $1.25 per carton thereafter.

Zone 5 (AL, AR, FL, GA, IA, KS, MN, MS, MO, NE, ND, SD) 1 carton: $5.50 - $1.25 per carton thereafter.

Zone 6 (CO, LA, OK, TX, WY)  1 carton :  $6.00 - $1.25 per carton thereafter.

Zone 7 (MT, NM, UT) 1 carton:  $6.50 - $1.25 per carton thereafter.

Zone 8 (AK, AZ, CA, HI, ID, NV, OR, WA) 1 carton: $7.00 - $1.25 per carton thereafter.

PRICES ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE