G A D G E T
1505 Old Deerfield Rd.		   C O R N E R TM
Highland Park, IL 60035
     
ORDER FORM
Please print out to use as you view our catalog.
ORDERED BY:   SHIP TO: (If different from left)

Name:______________________________

Street:_____________________________

City:_______________________________

State, Zip Code:______________________

Business: or Residence:

 
Name:______________________________

Street:_____________________________

City:_______________________________

State, Zip Code:______________________

Business: or Residence:

Daytime Phone Number:_______________________
(Your information is confidential and will only be used to contact you about or with, your order.)
  Item # Product Description Color Qty Cost Ea. Total
1 YJT-1 Insect Trap     $7.75  
2            
3            
4            
5            
        SUBTOTAL  
        ADD SALES TAX
(8.5% within IL)		  
        SHIPPING CHARGE
(see table below)		  
        TOTAL  
SHIPPING CHARGES
Order Total Shipping Charge
$0.01 - $12.00 $2.95
$12.01 - $20.00 $4.95
$20.02 - $35.00 $6.95
$35.01 - $50.00 $8.95
$50.01- $100.00 $10.95
over $100.00 $14.00
To Order:
Please send check or money order to:

the GADGET CORNER
1505 Old Deerfield Road
Highland Park, Illinois
60035, USA

We look forward to serving you!

 The Gadget Corner is currently "under construction".  Watch for more product information and secure credit card options soon!  In the meantime, we are happy to accept orders by mail.  Please include your check or money order with this completed order form.

© Copyright DesignLife Products Inc. 1999
All Rights Reserved.