ORDER FORM

Print out this form, fill it out, make a copy and mail.

Billing Information:
Name:_________________________________
Address:_______________________________
______________________________________
City:_____________State:______Zip:_______
Phone:_________________________________
Shipping Information: (if different)
Name:_________________________________
Address:_______________________________
______________________________________
City:____________State:______Zip:________
Phone:_________________________________
Product
Size/Code
Quantity
Price Each
Total Price
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
METHOD OF PAYMENT
 

(Make payable to High Touch)
Then mail to:

HighTouch
P. O. Box 140661
Edgewater , Colorado 80214-1896

(please allow 2-3 weeks for delivery)

Check
Money Order
Sub Total

Sales Tax
(CO Resident add 4.3%)

Shipping & Handling
(See product description)

TOTAL
$_____________
$_____________
$___12.95_____
$_____________


Please make copy for your records.