Faxable / Mail Order Form

Use this form to place an order by mail or fax.  Fill it in on your computer then print it and send it to us:

Tint Protector
PO Box 3433
Lantana, FL 33465
 
 

Fax/Mail Order Form

 

BILL TO ADDRESS:

SHIP TO ADDRESS IF DIFFERENT FROM BILLING

Name

Name

Company

Company

Address

Address

Apartment/Suite #

Apartment/Suite #

City

City

State

State

Postal Code

Postal Code

Country

Country

Day Time Phone

Day Time Phone

Fax (If Applicable)

Fax (If Applicable)

E-Mail Address

E-Mail Address

 

 

Qty

                     Item

 

Total $

 

 

 

 

 

 

 

Subtotal

 

 

Shipping

Total

* Shipping charges are based on the total weight of the shipment.  1-2 items is $4.99 2-4 is $7.95 4-unlimited is $11

*All International orders are shipped via US Mail, with  charges equaling $15.20 for the first 2 items and $23  for 3-unlimited.

 

 

 


 

                                                        Money Order or Check

Credit or Debit Card

 

                                             Certified or Personal Check

Visa

                                             Money Order

Mastercard

 

Discover/Novus

 

American Express

 

 

 

Card Number

Exp. Date

CVV Code

 

CVV Code