Just print out this form and fill in the details and then mail it in. Thank You.

20046 Damman Harper Woods, MI 48225 Phone: 248-797-0829

Printable Order Form / Purchase Order Form
All products will be shipped with UPS.

SHIP TO:

 BILL TO:

Name:        _______________________

 Name:       _______________________

Co. Name: _______________________

 Co. Name: _______________________

Address:    _______________________

 Address:    _______________________
Address:    _______________________ Address:    _______________________

City:___________________ State:___________

 City:___________________  State:__________
Zip:_____________ Country:_______________ Zip:__________   Country:_________________

PAYMENT METHOD:

Check#:_______   Amt. enclosed: $___________

 Phone:  (____) -______-________

Fax Number: (____) -______-________
Email Address; _____________________

Just print out this form and fill in the details and then mail it in. Thank You.

Make Check payable to RingKeeper™

Please supply the following items
Product Code PRODUCT DESCRIPTION Color QTY Price TOTAL AMOUNT
.RK1 .RingKeeper™ .       . $  $
. . . . $  $
. . . . $  $
. . . . $ $
. . . . $ $
. . . . $ $
. . . . $ $
. . . . $ $
. . . . $ $

Shipping Cost 

Total Order =   $0.00 to $50.00       Shipping = $0.00

Total Order =   $50.00 to $100.00   Shipping = $7.50

Total Order = $101.00 to $150.00   Shipping = $8.50

Total Order = $151.00 to $200.00   Shipping = $15.50

Total Order = $201.00 and up         Shipping = Call

 . . $ $
. . $ $

Shipping & Handling Charges 

 SUBTOTAL $
Shipping & Handling charges $ 

( MI State residents add 6% sales Tax )

 MI Add 6%    Tax $

Additional Notes

 

 

 TOTAL DUE $
Date: .

Thank You