Curling Equipment for Ice or Dry-Land Torian Designs LLC
Ordered by: Ship To: (if different from address at left)
Name   Name  
Organization / Business   Organization / Business  
Street Address   Street Address  
   
City / State / Zip   City / State / Zip  
Daytime Phone   Daytime Phone  
Email (for confirmation)   Email (for confirmation)  
Method of Payment:
  Visa   Mastercard   Discover   Check
          Account Number         Exp. Date
  Purchase Order # Signature          
Pricing (insert desired quantity and total price) Qty Unit Cost Total
Stone Simulator $90 each   X $90 =    
shipping $18 each   X $18 =    
Set of 8 Stone Simulators $699 each   X $699 =    
shipping $120 each (approx 240 lbs)   X $120 =    
Land Slider $95 each   X $95 =    
shipping $9 each   X $9 =    
Hack-Rack frame only (without Marco Hack, but includes mounting screws &washers)      
Qty 1-3 $27 each   X $27 =    
Qty 4-12 $25 each   X $25 =    
Qty 13 or more $22 each   X $22 =    
shipping $8   X $8 =    
Hack-Rack with Marco Hack installed      
Qty 1-3 $59 each   X $59 =    
Qty 4-12 $56 each   X $56 =    
Qty 13 or more $53 each   X $53 =    
shipping $8   X $8 =    
Double Hack-Rack (left and right hacks) frame only      
Qty 1-7 $49 each   X $49 =    
Qty 8 or more $46 each   X $46 =    
shipping $8   X $8 =    
Double Hack-Rack with Marco Hack installed      
Qty 1-7 $105 each   X $105 =    
Qty 8 or more $102 each   X $102 =    
shipping $8   X $8 =    
Koob (throwing & strategy game) $59.95   (visit www.getkoob for details)   X $59.95 =    
shipping $8   X $8 =    
Federal Tax-Exempt Status Number   6.5% Sales Tax on Utah Shipments    
Shipping & Handling (via Fed Ex) call for shipping rates to AK, HI, PR or international destinations
your shipping carrier name & account #     Total  
Mail or fax this order form to: Torian Designs telephone your order TOLL-FREE
4305 Harrison Blvd #6 PMB 532 801-391-8772  
Ogden, UT 84403
fax:  866-418-0381
www.toriandesigns.com