| FAX #: 1-607-655-1545 OFFICE: 1- 800-224-1456 |
PRINT THIS ORDER FORM OR COPY ALL INFORMATION IF NO PRINTER
AVAILABLE.
PLEASE MAIL ORDER FORM OR FAX COMPLETED ORDER FORM
. FAX # :
1-607-655-1545 (only credit card
orders can be faxed)
Mail your order form with check, money order, or credit card info to: Slimkids, 55 Edson Road, Windsor, N.Y. 13865
Personal checks will be held 7-10 days till they clear. Payment with money orders will be sent out next business day after receiving money order. There will be a $15.00 charge for checks that do not clear. Money orders are preferred.
PLEASE PRINT ( if faxing; please use black ink)
Customer:_______________________________________________________________________________
Address:________________________________________________________________________________
City: _______________________________State: ____________ Zip:___________________
Daytime Phone: ______________________________ Email: _____________________________
| Qty | Description | Price | Total |
| Slimkids Program
with Free 1-2 week shipping $21.95
For faster 3 day priority mail
shipping: add $5 dollars
|
Send
$21.95 for each program
ordered .
NY State orders send: $23.76(includes tax) add $5 if you want faster shipping------
|
CREDIT CARD PAYMENT OPTION: YOUR CREDIT CARD WILL BE BILLED THE TOTAL AMOUNT. Tax will be added to NY orders.
Circle Credit Card (Visa, MC, or Discover only)
Print Name On Card: ___________________________________________________________________________
CC # ___________________________________________________________Expiration Date:_________________
card code (last three numbers on back of card)____________
Card Holders Signature: _________________________________________________________________________
No Foreign or Canadian checks
accepted. All Funds to be in U.S. Dollars only.
