Select a quantity 1-4 the flip-out menu below. (For 5 or more Contact Us)
I'd like: 1 BackAxe at $45.00 + $5.00 s/h -- total = $50.00 2 BackAxes at $90.00 + $6.00 s/h -- total = $96.00 3 BackAxes at $135.00 + $7.00 s/h -- total = $142.00 4 BackAxes at $180.00 + $8.00 s/h -- total = $188.00
CT 6% sales tax: (if you're a resident)	_____________
Total:
Please let us know which model(s) (guitar or small)
I'm paying by:
check or money order (made payable to "BackAxe") credit card (enter info below)
card type: --select card type-- Visa MasterCard
name on card:
card number:      exp. date:
Ship my BackAxe(s) to:
name:
street:
city: state:  zip code: country:
phone: email:
international orders please Contact Us with quanity and location for shipping costs (usually about $10 per via AirMail).
Print the form -- use your browser's "print" command.
Mail it: BackAxe P. O. Box 7475 Wilton, CT 06897	Fax it : 203-834-0517
Thank you for your order!