ORDER FORM NELSON'S BIGG FISH INC. FAX: 703-683-5486 P.O. BOX 55 TEL: 703-684-6131 ALEXANDRIA, VA 22313-0055 WEBSITE: www.nelsonsbiggfish.com E-MAIL: info@nelsonsbiggfish.com BILLING ADDRESS:      SHIP TO: NAME:_______________________________      NAME:_______________________________ ADDRESS:____________________________      ADDRESS:____________________________ CITY:_________________________________      CITY:_________________________________ STATE/ZIP:____________________________      STATE/ZIP:____________________________  PLEASE SHIP MY ORDER:   UPS____   PRIORITY MAIL____   FED EX____  DAYTIME PHONE NUMBER: ______________________________  METHOD OF PAYMENT:   MONEY ORDER____   CHECK____   VISA____   AX____   DISCOVER____  CREDIT CARD NUMBER:_____________________________   EXP. DATE:________________  SIGNATURE:_____________________________________________ HOW MANY   ITEM NUMBER              COLOR         PRICE         TOTAL                                                                                                                 TOTAL   SHIPPING & HANDLING   SUB TOTAL   VA RESIDENTS ADD 4.5%   TOTAL AMOUNT   SHIPPING & HANDLING IF YOUR ORDER TOTALS:   ADD:   Up to $50.00 $4.90 $50.00 to $100.00 $6.50 $100.00 to $150.00 $8.50 Over $150 Freight Free