HustlaGrillz.com Mail Order Form
1.Completely fill out this mail-order form.
2. Decide which items you would like, and add them (with product codes) to the list.
3. Select which method of shipping you would like and add it to the cost of the items.
4. PRINT OUT THIS FORM (please do not send in hand-written forms)
5. Mail in the form, along with payment (cashier's check or money order ONLY!) to the address listed at the bottome of this page.
* All fields are required in order to ensure proper processing.*

Email :

First Name :

Last Name :

Address :

Address :

City: State: Zip:

Phone: - -

Item #

Item Name

Qty

Price

Subtotal

In IL please add 8.75% Tax


Standard Shipping (USPS first class) $5.50 
 Ground Service (DHL, FedEx, UPS) $11.00 
EXPEDITED Ground / 2-Day Shipping  $16.00 
Next-Day Shipping  $35.00 

TOTAL BALANCE DUE

Money Order and Cashier's Check are the ONLY acceptable form of payment. Personal checks will NOT be accepted.

If total amount is incorrect, shipping may be delayed. If total amount paid is less then the required amount, a lesser shipping service will be selected.

Please make all money orders and cashier's checks out to : Hustla Grillz

Hustla Grillz
16135 New Avenue Suite 11
Lemont, IL. 60439