Customer Order Information

If you are interested in ordering any item, please follow these instructions:

1) Fill out the form below and press the Submit Form button. By filling out this form, we will have all the information necessary to pre process your order. You can print out the confirmation form and enclose it with your order.
2) *****We are now happy to announce that we accept Pay Pal payments for your convenience. If you  would like to place your order using Pay Pal, please click on the hyperlink and you will be taken to our   Pay Pal ordering page ********
3) Should you wish to pay by check, please make your check or money order payable to
              Jack Simonian Enterprises
                    P.O. Box 103
              Farmingdale N.Y. 11735
4)) Prices listed in the drop down boxes below do not include shipping and handling charges. Please add $13.50 for each individual order. For multiple items please email us for a discounted shipping quote. Please note New York State residents please add the appropriate sales tax for your county.
*****Please note: In the event you cannot submit this form, please send us an email with the information below. A hyperlink to our email can be found below this form or on any other of the pages.***

Please provide the following contact information:

First Name
Last Name
Middle Initial
Mailing Address
Zip/Postal Code
Phone (optional)
Choose an item

        If you have any questions at all please email us at 
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Copyright 2002 All rights reserved.
Revised: 01/28/17