

| Shipping Charges | |
| Up to $25.00................$4.50 | Subtotal______________ |
| $25.01 - $50.00..........$6.50 | Shipping______________ |
| $50.01- $100.00.........$8.50 | TN Residents add 9.25%____________ |
| $100.01 - $200.00......$10.50 | |
| $200.00 - $300.00......$12.50 | |
| $300.01 and over........$14.50 | TOTAL AMOUNT________________ |