CDP Local Mall Offline Order Form

Local Mall Offline Order Form
To be used only if paying by cash or money order

Fill-in Form and Then Print

Text Box: Shipping and Handling
Subtotal
Under $45.00
$45.00 to $54.99
$55.00 to $74.99
$75.00 to $99.99
Over $100
Charge
$5.00
$8.00
$9.00
$10.00
10% of Subtotal     Item #                                Description                                     Unit Price            Qty      Line Total

                                                                                                                   Subtotal
                                                   Taxes - CA Residents Only (Subtotal X 0.0975)
                                                             Shipping and Handling (See Chart Below)
                                                                                                              Order Total

    Name:
Address:
       City:    State:    Zip:
Country:
    Phone:
   E-mail:

Payment Method Cash Money Order

Allow 4 to 6 weeks for delivery

If paying by money order, make out to CORONEL DATA PROCESSING

Mail Printed Order Form and Payment to:

CORONEL DATA PROCESSING
c/o Mall Order
23441 Golden Springs Dr., #253
Diamond Bar, CA 91765