Order Form

We accept all major credit cards.

(Please print this form and mail or fax your order)

Price per case* 1-4 cases $337.00 each 5 or more $299.00 each *240 clips per case.   Price per box* 1-3 Boxes $90.00 Each 4-8 Boxes $84.25 Each 9-19 Boxes $79.50 Each 20+ Boxes $75.00 Each *60 clips per box.

Ship To:      Company Name:  ____________________________________   Contact Name:  ____________________________________   Address:  ____________________________________   City, St, Zip: ____________________________________   Email Address:  ____________________________________   Phone Number: ____________________________________   Cell Number: ____________________________________   Best Time to Call: __________   am    pm   East Coast    West Coast    Central    Mountain   Credit Card Information Name: __________________________ CC#: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Card Type:  Visa     MC      Amex     Disc                (Circle One) Exp. Date:  _____ / _____