CLICK HERE TO SUBMIT 2015 Order Form Please submit orders to [email protected] CONTACT NAME: CENTER NAME: ____________________________________ _____________________________ PHONE: (____) _____- _________ SHIP TO: _____________________________________ DATE: ________/________/_______ CITY: ____________________ STATE: _______ ZIP: ________ Have you ordered before? EMAIL: ______________________________________________ Yes No EI # (Tax Exempt): _________________________________ *If this is your first time ordering, please submit your Exempt Organization Certificate or Resale Certificate with order QTY Price Each* $120.00 $210.82 DESCRIPTION ½ Case - Sixlets 1.75oz Count Goods – 6 Displays / 24 Per Display ($1.50 MSRP, Cost $0.83 = $0.67 or 44.4% profit margin) Full Case - Sixlets 1.75oz Count Goods – 12 Displays / 24 Per Display ($1.50 MSRP, Cost $0.73 = $0.77 or 51.2% profit margin) **Please note that a $7.95 Shipping & Handling charge will be added to all orders for each ½ case or full case CREDIT CARD #: ________________________________________________ Exp. Date: _____/_____ VCode ________ CARD TYPE: ___________________ NAME ON CARD:_______________________________________ Please allow 2-weeks for delivery on all orders *All prices are subject to change without notice A confirmation e-mail will be sent within 2 business days of placing your order. Call 716-634-3191 if you do not receive an order confirmation. Shipping and tracking information will be sent via e-mail once your order has shipped.