Please print a copy of this form.  Fill it out completely & Mail it to:

RIH Incorporated

3704 Bellewater Blvd

Riverview, FL 33578

Make checks payable to RIH Incorporated

Orders will be shipped after your check clears our bank.

 

Email Address:
Name:
Company Name:
Address1:
Address2:
City, State, Zip Code:
Phone #

Quantity	Item #	Description	Price	Ext. Price
		* Orders $40.00 or more ship free. Add for shipping: $4.94 on orders $19.99 and under OR $6.94 on orders $20.00 to $39.99	Subtotal
			7.00% Sales Tax for FL residents
			Shipping
			Total Due

Payment Information:   Payment Type: Visa,  MasterCard, Discover,  American Express, Check or Money order. (circle one) Card holders Name as it appears on card:________________________________ Card Number:____________________________ Expiration Date:___________ Signature:_________________________________________________________ Make Checks payable to: RIH Incorporated Mail this completed form to RIH Incorporated 3704 Bellewater Blvd Riverview, FL 33578 Thank You!

Please allow eight business for delivery after we receive your check.