Products:

Please put down (a) how many unit and (b) $ubtotal for each item.

8166-USA 29-inch Guitar Neon Clock @$75.00:   a)units, b)$ubtotal
8166-RNR 29-inch Guitar Neon Clock @$85.00:   a)units, b)$ubtotal
8166-UK 29-inch Guitar Neon Clock @$85.00:    a)units, b)$ubtotal
8166-CAN 29-inch Guitar Neon Clock @$85.00:   a)units, b)$ubtotal
8177-USA 17.5-inch Neon Clock @$95.00:   a)units, b)$ubtotal
8160P 12-inch Billiard Neon Clock @$75.00:    a)units, b)$ubtotal
8147 16-inch Billiard Neon Clock @$75.00:     a)units, b)$ubtotal
8150 23.5-inch Pool-Time Neon Clock @$125.00: a)units, b)$ubtotal
8144 15-inch Texas Hold'em Green Neon Clock @$65.00:     a)units, b)$ubtotal

Grand Total:                        $$$sum of all (b)s above

Credit Card: (click on 'arrow' to choose!) 
             SORRY NO COD
             VISA
             MasterCard
             American Express
             Discover
Card Number: (16/15 digits) 
Expires:      Month  Year

Full Name:       *first and last names
Street Address:  *number, unit, street
City:   State/Country:  ZIP:
Email Address:   *required to receive confirmation
(Area) Telephone:*optional

Any additional Comments: (including choices: pink or blue RNR 
neon, etc. & special shipping instructions, such as some order 
items going to different names and addresses, eg. as gifts)