Au-Rus Injector Online Order Form

Au-Rus Wax Pattern Online Injector Order Form

302Main St.

Kellogg Id. 83837
E-mail:

E-Mail Us

We accept Visa and MasterCard.

| Order Information | Ask/Tell

Wax Injector Order Form

This is our Standard Online Order Form and it's compatible with most browsers.

Please complete all relevant areas and elaborate fully where necessary. Thanks!


       Shipping to Name: 
   Company/Organization: 
                Address: 
         P.O. Box/Apt.#: 
                   City: 
         State/Province:     Zip/Postal Code: 
                Country:

We must know who to contact if there is question regarding your order,
and where to send e-mail confirmation of your order...

    Ordered By Required: 
  Daytime Telephone Required: 

             Fax Number: 
E-mail Address REquired: 

Required E-Mail Sample


Your "userid@your server"

Example---userid@frontier.com

(We never transfer your e-mail address to anyone else!)

Items Ordered...Fill in all needed information for each item ordered.

Item # | Qnty | Item Describtion | Cost

Cost Total:
Enter Shipping Cost (See Shipping Info):

Total For Order:

Payment Method...

Credit Card
Check or Money Order

Credit Card Information...

This site is not a secure ordering area yet. Call us VIA phone with your card number if you prefer.

Please Select Card Type:

Card Holder's Name As It Appears on Card:

Card Number:

Expiration Date (any format):

CVC (From The Back of Credit Card):
What is CVC

We require the Credit Card Billing Address.
Just check here if same as 'Ship To' address:

The address where your credit card company sends statements...

Any other instructions or info? Comments? Questions?...

After submitting your order, your screen should receive the message "Your
form has been submitted. Thank you!" If you don't receive the message and there's no explanation, please contact us.

Important Ordering Information

* If your order is larger than this order form will accomodate send us several order forms.

* Make sure to total cost when ordering more than one of any item.

* Call 208-786-9301 if faster delivery is preferred.

* To reduce waste we occasionally reuse shipping boxes - your order may arrive in a
"recycled" carton.

~ Thank You! ~

Phone: 208-786-9301

E-mail: E_MAIL US || Web: Home Page

Au-Rus Wax Patterns/Sass Jewelry / 302 Main st. / Kellogg , Id. 83837

How To Order