| www.NauseaReliefWristband.com PSI BANDS - ORDER FORM |
Authorized Reseller |
||
| (One Package
Contains a Set of 2) Fits wrists 5 1/4 inches to 8 1/4 inches in diameter |
Quantity of Packages | Price / Pkg. | Total |
Color Play |
OUT OF STOCK | 15.00 | OUT OF STOCK |
Cherry Blossom
|
OUT OF STOCK | 15.00 | OUT OF STOCK |
Daisy Chain |
OUT OF STOCK | 15.00 | OUT OF STOCK |
Racer Black |
OUT OF STOCK | 15.00 | OUT OF STOCK |
Block Party |
OUT OF STOCK | 15.00 | OUT OF STOCK |
| Shipping (1st Pkg.) | 3.50 | ||
| (Add $ 1.00 for each additional pkg.) | Additional Pkgs. | 1.00 | |
| ENCLOSED | TOTAL | OUT OF STOCK |
Ship to: Name ____________________________________________________________________
US Postal Service Address: __________________________________________________________
City ________________________________________________ State _____ Zip _____________
Optional: Email address for order confirmation: ___________________________________________
May we have your phone number in case we have a question about your order? We do not sell/share this information with any third party.
Telephone: ( ________ ) _________ - _______________
Please Make Your Check Payable to: Tribute Marketing and mail it with this form to:
Tribute Marketing, Attn: Cote, Box 802, Attleboro, MA 02703
Tel. 508-455-4646 email: info@nauseareliefwristband.com or info@tributemarketing.com