Order Form

To read ordering instructions, select - [Ordering Instructions]

                                 







   Your Name:______________________________________



   Address:_________________________________________    Bentley Sales Co.



   City:_________________________State:_____Zip:_______    Order Form



   County:______________Phone:(___)___________________



                       Method of Payment: Circle one



 Check or Money Order Enclosed              UPS C.O.D. Delivery



 Made Payable to Bentley Sales Co.          Add $5.00 to Total Charge



 Charge to My:  Visa  Mastercard  Discover  Exp. Date:  __  __  -  __  __



                                Card Number



 __  __  __  __  --  __  __  __  __ --  __  __  __  __  --  __  __ __  __



        Cardholder signature:_____________________________________



                                Order Form



      Quantity  Number             Description               Price



      ________ _______  __________________________________ _________



      ________ _______  __________________________________ _________



      ________ _______  __________________________________ _________



      ________ _______  __________________________________ _________



      ________ _______  __________________________________ _________



                                                  Subtotal _________



                       IL Residents Add 8% (.08) Sales Tax _________



                             **Shipping Charge (see below) _________



                                              Total Charge _________



                   

		*SHIPPING CHARGE CHART - SURFACE RATES



            UPS Next Day Air, Second Day Air, Three Day Select
All orders to Alaska and Hawaii will be charged UPS 2nd Day air rates



              and International rates available upon request.



  If your zip                      And Your Order Is:



      code        Under



  is between:    $10.00    10.00-19.99  20.00-49.99 50.00-69.99  Over 70.00



01000 and 39999   5.00         5.25        5.50         5.10       6.75



40000 and 45999   4.50         4.75        5.00         5.25       6.00



46000 and 49999   4.50         4.75        5.00         5.25       6.00



50000 and 51999   4.50         4.75        5.00         5.25       6.00



52000 and 53999   4.50         4.75        5.00         5.25       5.75



54000 and 59999   5.00         5.50        5.75         6.25       6.50



60000 and 61999   4.50         4.75        5.00         5.25       5.75



62000 and 69999   4.75         5.25        5.50         5.75       6.50



70000 and 79999   5.00         5.25        5.75         6.50       7.25



80000 and 99999   4.25         4.75        6.00         6.75       8.00



    642 Sandy Lane - Des Plaines, IL  60016   (847)439-2049   Fax:(847)439-2071

Bentley Sales Company
642 Sandy Lane - Des Plaines, IL 60016
Ph: (847) 439-2049; Fax (847) 439-2071
e-mail:bentleysales@modelhorses.com