Headphones Mail-in order form

To Order Our Headphones, Please :


1- Please Get a print-out of this form and complete it.
2- Make your Payments By Check Or Money Order in US and International Orders in International Cashiers check , Payable to : A&S Company.
3- Mail All of above to :
A&S Company
3209 Benton St.
Santa Clara, CA 95051

First Name:_______________Last Name:_________________Middle Name_________


Email(if any):________________________________________________


Shipping Address_______________________________________________________


City, State, Zip______________________________________________________


Telephone:_________________________________________________________


Fax, If any:_________________________________________________________


Item No., If any - Headphone Description - Our Discounted Price:

______ - _______________________________________-___________


______ - _______________________________________-___________


______ - _______________________________________-___________


______ - _______________________________________-___________


______ - _______________________________________-___________


-----------------------------------------------------------------------------------------------
SubTotal - _______________________________________-__________


8.25% tax (CALIFORNIA Orders Only)_________________-__________


USA: S &H Is $3 for any Quantity (free with detector order)__-__________


Outside of USA: S & H International orders, add $10 per Set___-__________


Total Enclosed_____________________________________-__________




Please allow us One to Two weeks for delivery. If they are shipped with your detector or accessories Orders, delivery might take three to five working days in USA. Total Shipping Cost on headphones is $3 in US regardless of quatity, IF YOU ARE ORDERING THE HEADPHONE WITH A DETECTOR, SHIPPING COST ON HEADPHONES WILL BE FREE.
THANK YOU FOR SHOPPING AT A&S COMPANY

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