PinFever Printable Order Form

Item # Item Description Price Quantity Total
         
         
         
         
         
         
         
         
         
         
         
         
         
PinFever Times (see home page for details) $12.95
Special Offer PinFever Times with orders over $50.00 $8.95    
Subtotal  
Shipping & Handling included N.C.
Insurance 1.50 for every 100.00
Grand Total  
All orders shipped with 24 hours upon receipt of payment except for payments by check please allow a 3 day grace period.
Shipping Information
Your Name:___________________________________
Address:______________________________________
City:____________________ State:______ Zip:______
Phone # or E-mail Address:_______________________
Make checks payable to: PinFever

Send To:
5758 Corentine Cr.
Kearns, UT 84118
Payment Type
Mastercard___ Visa___ Discover ___ Am. Exp. ___ Money Order___ Check___
Credit Card Information
Cardholder's name:__________________________
Signature:_________________________________
Credit Card#________/________/________/_______

Expiration Date (mm/yy)__________