1. All fields followed by a blue asterisk (*) in the form below must be filled in completely.
2. If you a California retailer/wholesaler, please complete and fax the 'California Resale Certificate' to us
at: (925) 803-9157.
3. When finished, click "Request Samples Now" to be taken to the order page where payment can be made securely by email via the PayPal eMail Payment Service. There will be a shipping and handling charge of $8.50 added to your order.