ORDER FORM

Click File then Print to print form

SHIP TO:

Name _________________________________________ Date: ________________
Address _____________________________________________________________
City ____________________________	State ________	Zip ______________
Phone ( _____ ) _________________________

Qty Product Item Color Price Total Shipping Sub Total Tax (TX Res. add .0825% sales tax) Total Method of Payment - Please Check One Check or Money Order Visa MasterCard Account Number

Card Expiration Date: ____ /____ Signature: ____________________________________
Month/Year Signature required on charge orders by mail.

Mail orders to: TIME OFF PRODUCTS 10627 Tower Oaks Blvd Houston, TX 77070 Call in your order: 713-301-8760 or fax to: 281-894-9469

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