EASY ORDER FORM
for Mousepads, Puzzles, Can Covers
Print and fill out this form.
| Shipping Information |
| Name: |
| Address: |
| Address 2: |
| City, State & Zipcode: |
| Country: |
| Email Address: |
| Day Phone |
All information must be accurate for verification. Incomplete orders will not be processed.
| Item |
Price |
Quantity |
Total |
Mousepad Additional Mousepads |
$ 10.95 $ 9.95 each |
|
|
Puzzle Additional Puzzles |
$ 11.95 $ 10.95 each |
|
|
Can Cover Additional Can Covers |
$ 7.95 $ 6.95 each |
|
|
California residents add 7.75% sales tax.
International add $5.00 each item for shipping and handling.
__Check __ Money Order
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