This form can be printed blank, or filled out on screen and then printed.
Product code (see below)
Size
Color(KB only)
Right, Left, Pair
Price
x Qty
Line Total
Product Codes:
Sub total
S/H
Tax (CA only)
Grand Total
A sales tax of 7.25% is only charged on items being shipped within or to California
Keyboarder = KB
MicroMitts = MI
SoftSplint Warmer = SS
MacroMitt = MA
Gel Mouse Pad = GMP
ToastyRoll = TR
Keyboarders, SoftSplints, and MicroMitts are $24.95 a pair, or $12.95 for a single. MacroMitts and ToastyRolls are $24.95 ea., or two for $39.95. Gel Mouse Pad: $4.95ea.
S/H: Keyborders, Soft-Splints 1 to 2 Pairs $3.50, 3 or more Pairs, $5.50, MicroMitts: 1 to 5 pairs: $5.50, MacroMitts and Toasty Rolls, 1 to 4: $9.50. Gell Mouse Pads, 1to 3: $5.50 For larger orders, please call:1- 800-489-6488
Purchase Order # If applic:
Write Shipping address/phone below if different
First Name
Last Name
Company (if applc.)
Address (Ist line)
Address (2nd ine)
City, State, Zip
phone
Please include your phone number. If there is a problem with your order we need some way to quickly get in touch with you. We guarantee that your infomation is kept strictly private.
Credit Card # (Visa MC AMEX Disc)
exp. date
signature and date
Fax: 831-335-9598
Mail to: MouseMitt Int'l, P.O Box 7370, Scotts Valley,
CA 95067-7370