Product Ordered:
....................................................................................Total Product Cost:__________
| # Cassettes per shipment | 1 | 2 | 3 | 4 | 5-15 | 16-25 | 26-35 | 36-45 |
| $ Shipping for rentals | $1.60 | $2.60 | $2.90 | $3.60 | $5.25 | $7.00 | $8.50 | $10.00 |
| $ Shipping for Purchases | $1.50 | $1.50 | $1.50 | $2.00 | $3.00 | $4.00 | $5.00 | $6.00 |