If you do not wish to use our online order form, this page may be printed out and faxed or mailed to Midwest Volleyball Warehouse. Our fax number is 952-808-0101. Our address is Midwest Volleyball Warehouse, 14050 Judicial Road, Burnsville MN 55337. You may also place a phone order with a credit card by calling toll free 1-800-876-8858.

This order page will NOT automatically transmit to us. You must fax or mail it.

Please fill in your Bill to address. This address must be the same address which appears on your credit card statement.

Name:

Address:

City:

State:

Zip:

Day Phone

(_____)

Evening Phone:

(_____)

Email:

Please fill in the shipping address if it is different from the above address. If it is the same you may simply write in "Same as Bill To Address".

Name:

Address:

City:

State:

Zip:

If you are paying by credit card please fill out the following.

Credit Card Type: (Circle One)	Visa, Mastercard, Discover
Credit Card Number:
Credit Card Expire Date:

List the items you want below. Be sure to include color and sizes. If you need additional space use another piece of paper.

Stock #	Description	Qty	Color	Size	Unit Price	Total Price





Sub Total:
Only MN Residents add 6.5% sales tax on non clothing items:
Shipping/Handling (see chart below):
Grand Total:

$ Value of Order	Shipping Cost	$ Value of Order	Shipping Cost
$0.00 - $25.00	$6.95	$150.01 - $300.00	$15.95
$25.01 - $50.00	$7.95	$300.01 - $800.00	$18.95
$50.01 - $75.00	$9.95	$800.01 - $1500.00	$19.95
$75.01 - $100.00	$10.95	$1500.01 - $3000.00	$24.95
$100.01 - $150.00	$13.95	Over $3000.00	$29.95

If mailed, all orders must have a check included (or credit number listed) for the total amount, including shipping and handling.