SERVI PAK        Back

Easy Fax order Form for Coat Checks


Complete the online form below, print, and fax back to ServiPak     


___ 2 sets ( 400 pieces):     $ 225.00 
US funds
___ 3 sets (600 pieces):      $ 295.00 
US funds
___ 4 sets (800 pieces):      $ 355.00 
US funds
___ 5 sets (1000 pieces):    $ 425.00 
US funds


Indicate preferred color: ___ Black/White  ____ Blue/White

Select payment method (Circle one):    Visa         MasterCard    AMEX

Card number: _______________________________________
Expiry date on card: __________________________________
Name appearing on card: _______________________________

Authorized signature: _________________________________

Complete shipping address - (Please use block letters)
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

Telephone number: ____________________________

Email address: ________________________WE WILL CONFIRM YOUR ORDER VIA EMAIL

 

Fax back to: 888 303 1866       Back     Contact ServiPak: 1-800-759-9799