THE "KOOLKEY" ORDER FORM
Order Form
Enter Quantity desired. Then Click on "Calculate Results"
available Quantities
Amount
144-1000
1001-2500
2501-10,000
Art Charges
$50.00 one time
Total $
We will ship UPS Regular Ground within the Continental United States. Shipping to Alaska, Hawaii and Puerto Rico requires a telephone call for a shipping quote.
Shipping Information:
Please check one Mr. Mrs. Ms. Miss
First Name M.I. Last Name Company Name Physical Address Shipping Address City State Zip Phone Fax E-mail Address
Personal Check Money Order (Print this form and mail to:)
Order Department
Pay by Credit Card (You can fax this order to us: Fax: (604) 421-8806 e-mail:
Card: Visa MasterCard Card Number: Expiration Date: January February March April May June July August September October November December 1997 1998 1999 1998 2000 2001 2002 2003
Billing Information (as it appears on your statement)
First Name MI Last Name Address 1 Address 2 City State Zip Phone
This is NOT a secure order form. You can phone in your card number
