BiminiSox Faxable Order Form From King Richard Co

You may type info into this form Online. Select Print Then Fax Or Mail This Order form to the Number Or Address below.

Or Choose Our Secure Online Order form

Fax To 1-978-681-4163 / 24 HOUR SECURE FAX LINE Send E mail To : Orderinfo@KingRichard.Net

CALL OUR TOLL FREE ORDER LINE ( 1-888-226-8270 ) Or 978-687-9175

You may choose to mail this Order Form To Address Below

King Richard,LLC P.O. Box 883 No. Andover, Ma 01845

NAME :EMAIL:

ADDRESS:

CITY:STATE:ZIP:

PHONE:

CREDIT CARD ( Visa, MasterCard, Discover, Amex ) COD ADD $9.95

CREDIT CARD #_________________________________EX DATE ____/____( Please Double Check )

Available Colors: Black, Blue, Beige-Sand, Green-Teal, Burgundy, Gray

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If you wish to order additional items please attach to this Fax

A SIGNATURE IS REQUIRED & WILL CONSTITUTE THIS AS YOUR AGREEMENT TO PAY TOTAL.
30 % Restocking & Service Charge On All Returned Items
Delivery Time May Vary between 1- 4 weeks	Total
SIGNATURE_____________________________ Prices & Products subject to change without notice