Miles Stair's Wick Shop - www.MilesStair.com
For Mail Orders Only
, please fill out this form on your computer, print and mail with a
Money Order or Cashier's Check. Personal checks must clear bank before shipping.
Short form.  For other items or overseas orders, please use the long order form.

WICK #

FOR HEATER MODEL

PRICE @

NUMBER ORDERED

TOTAL US$

$

$
$ $
Igniter # See list for exact igniter PRICE EACH # IGNITERS

PRICE   US $

1  Aladdin, Toyotomi, KeroSun, Corona $ 4.95

$
3  DuraHeat, Robeson, Heat Mate, DynaGlo $ 4.95 $
ACCESSORIES  
   "Breathe Easy" Catalytic Filter $ 8.95 $

Subtotal for merchandise - US Dollars    

$

          US ONLY      By Amount of Order  - Shipped First Class  

 
US POSTAGE RATES:  $1.00 to $18.00 = $4.95;  $18.01 - $28.00 = $5.95; $28.00 - $49.00 = $7.95; $49.01 - $70.00 = $9.95;  $70.01 up - $12.95. (Overseas Postage, go here.) $   $
Priority Mail upgrade for orders under $30.00 (US ZIP Codes ONLY) = ADD $2.00 TO ABOVE for Priority $ 2.00 $

International Order: Use long form.

TOTAL US $ ONLY 

$
 Your Name
 Your address
 City, State and ZIP Code
 E-mail address

 I will send a Shipping Notice with  Delivery Confirmation number to US destinations with an e-mail address.

Have a question? Please email me at  Miles@ruraloregon.net

 Next day shipping with Cashier's Checks or Money Orders. 
Please DO NOT send cash or personal checks denominated in non-US funds through the mail! - MAKE PAYABLE TO  MILES STAIR

Send to:   Miles Stair
           PO Box 503
           Coquille, OR USA   97423