This merchandise order form can be sent with a check or money order to:
Promotional Merchandise Redemption
The Jel Sert Company
P.O. Box 261
West Chicago, IL 60186
Name: _________________________________________________
Phone: _________________________________________________
Email: _________________________________________________
Address: _______________________________________________
City: __________________________________________________
State: _________________________________________________
Zip: ___________________________________________________
Country: _______________________________________________
| Item |
Price |
Quantity |
S&H per item
U.S. and Canada |
| Otter PopsŪ T-Shirt |
$7.99 |
________ |
$1.55 |
| Otter PopsŪ Watches |
$6.99 |
________ |
$1.25 |
| Otter POPSTARS CD |
$2.99 |
________ |
$1.55 |
Illinois customers please add 6.5% sales tax.
My total purchase amount is: ________________.
My check/money order is enclosed in the amount of: ________________.
Thank you for your order-we appreciate all of our customers! |
