Ordering Form

TYBRO.COM INC.

2640 Willard Dairy Road

Unit 104

High Point, NC 27265

336-423-2426

We accept cashier’s checks, international money orders,

Visa, Mastercard and American Expresss . (in US Funds)

Please make check or money order payable to:

TYBRO.COM INC.

ITEM NAME QTY TOTAL___

_____________________________ _____ __

______________________________ _ _ _

_______________________________ ____ _

_________________________________ ___

___________________________________________________

Please add the following shipping charges:

U.S. Shipping & Handling: First two items $4.60

For additional items add $1.40

Foreign Shipping & Handling:First two items $9.00

For additional Items add $2.00

BILLING ADDRESS (Print Clearly) SHIP TO: (If different )

Name:_________________________________________________

Address:______________________________________

City:_________________________________________

State:________________________________________

Zip:__________________________________________

Country_______________________________________

Daytime Phone:( ) ________________

Fax Number: ( )__________________

Payment Method: ( Circle One) Cashier’s Check,

Money Order, Mastercard, American Express,

(In U.S. Funds).

Card Number: _________________________________

Expiration Date: _____________

CVV2:_________

Date of Purchase_____________

PLEASE ALLOW 2-4 DAYS FOR DELIVERY

WITHIN THE UNITED STATES

1-2 WEEKS DELIVERY OUTSIDE THE U.S..

THANK YOU FOR YOUR ORDER!

ORDERS OR CUSTOMER SERVICE CALL

1-336-423-2426