Fax or Mail Order-Quotation Form

Fax:  Print this form and fax it to: 1 (801) 760-1468
Mail:  Send to 4921, 2^nd Line Road, North Lancaster, Ontario, Canada, K0C 1Z0
e-mail Submit this form to us by clicking at the bottom or e-mail to look@sponges.com
Product Support: 1 (888) SPO-NGES or 1 (888) 776-6437

Terms & Conditions
Payment must be received at the address above before shipping. NO COD.
ALL CREDIT CARD ORDERS ...You must print out the completed form BEFORE e-mail this form & the signed printout to be mailed to our HO You must also enclose hand written authorisation to charge
your account prior to order processing and shipping

Shipping Information
Unless otherwise indicated and arranged by you all shipping is done by US or CDN Postal service and the charges added to the invoice at cost..

Order Form

Item Code Description Price Qty Total       Subtotal        Tax         Total

Shipping Address

Name  Address  City    Prov/State  Country     Zip  E-mail

Billing Address
 Check if same as shipping address

Name  Address  City    Prov/State  Country     Zip  E-mail

Billing Information

Credit Card  Cardholder Name  Card Number     Expiration      Signature Sample