Order Form
Ordering is Easy:
  • Complete and submit your order using our ORDER FORM, or
  • Complete and print this form, then fax it to us toll-free at 1-(888) 710-8336, or
  • Phone in your order to (703) 339-6243

Note:   If you are uncomfortable using our Order Form, please fax us your information or call us with your order.
All information will be held in the strictest confidence. We will not release your information to a third party without your expressed permission.
Name:     (required)  
Email address:                     (required)
Title:
Type of Business:
Business/Organization:  
Address:
City:
State or Province:
Zip Code:
Country:
Phone:
Fax (optional):
Shipping Address (if different from above): How did you learn about the Lee Johnson Group: Charge Card Payment Information:
Name on card:       
Billing Address:
City:
State:
Zip Code:
Country:
Credit Card: MasterCard Visa American Express Discover
Credit Card #:
Expiration Date:
Item Name:
Quantity:
Unit Price:
Item Name:
Quantity:
Unit Price:
Total Due:
Please be sure to include shipping and handling fees listed below and appropriate sales tax. * Virginia state residents will be charged 4.5% sales tax. Orders are charged the following handling fees:
  Orders up to $99.00:      $25.00   
  Orders $100.00-$499.00:    $35.00   
  Orders $500.00 to $1,000.00:    $45.00   
  Orders $1,000.00 and above:    $45.00  plus 3% of total sale  
Please note:   Orders requesting overnight delivery must double the handling fees listed above.
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The Lee Johnson Group
4868 Champlain Court Suite 310
Waldorf, MD 20602
Voice:(301)396-4432
Fax: (301)396-5766
info@leejohnsongroup.com

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