Burger Custom Canes Order Form

Thank you for your order, by completing this secure order form I would just like to confirm that no debits will take place on your CC, until I have made contact with you, regarding a full break down of your order details and you have agreed to all costs and details. Thank You, Barry Burger -Maker
* Handle Choice (Please note our standard Turned Tamboti and Tee handles are included in the price of your qulaity Burger Cane. Our more unique custom handles add to the price of the cane) *
Shaft Finish
Break Down Conversion (Adds $200-00) Recomended, if you see yourself using this option frequently when traviling with your cane.
Shipping Information
SHIPPING - We ship our quality canes to all four corners of our "global village", and assure you of very discreet and trouble free delivery of your order. Delivery will be approximatly 14 business days. Once I have received your confirmed order form I will follow up with final shipping costs and estimated shipping date.
Is your credit card billing address the same as your shipping address?
 Card No (i.e. 1234-1234-1234-1234)
The privacy and security of your order are guaranteed.