Please print this form and return it via fax or the U.S. Mail.
See the bottom of this page for sending information.
|
our product The iRac |
our price $9.95 |
quantity _______ |
total ______ |
| Ohio residents please add 7.25% sales tax ($0.72 per item) | ______ |
| Shipping and Handling | $4.00 |
| International
orders, please get a shipping price from our info page http://www.theiRac.com/ship.html |
| Total Amount Enclosed | ________ |
Color Selection
Stainless Steel
White
Black
| Shipping Address Information |
| Your name | _____________________________________________________________________ |
| Address | _____________________________________________________________________ |
| _____________________________________________________________________ |
| City | ____________________ | State________________ Zip Code__________________ |
| Country | ____________________ | Phone #_____________ email _____________________ |
| Payment Information |
| Payment Method |
____Personal Check (make checks payable to The iRac) |
| Card Number | _____________________________________________________________________ |
| Name on the card | _____________________________________________________________________ |
| Address | _____________________________________________________________________ |
| City | ____________________ | State________________ Zip Code__________________ |
| Please mail this order form to : | The iRac 20 Elmwood Place Athens, OH 45701 |
| FAX this form to: | 702-543-5679 |
| (credit card orders only, payment by check must be mailed) |
[home] [order now] [product information & photos] [contact us / product feedback] [iRac in the press]