The Power Promotions Mail-In Order Form

Sold To:

Name: ___________________________________________________

Address: ________________________________________________

City: _________________State: ________ Zip: ________________

Phone: (_____) ______________________________

Email: __________________________________________________

Ship To (if different from "Sold To"):

Name: ___________________________________________________

Address: ________________________________________________

City: _________________State: ________ Zip: ________________

Phone: (_____) ______________________________

Description Size Quantity Unit Price
Total
         
         
         
         
         
         
         
         


Shipping/Handling Charges:

Shipping & handling charges for Fed Ex Ground within the continental U.S.
Order Amount
Shipping Charge
$0 - $50.00
$6.95
$50.01 - $75.00

$7.95

$75.01 - $100.00
$8.95
Call for other shipping charges.



Sub-Total  
Sales Tax  
Shipping/Handling  
*Total  
*Florida Residents add 6% state sales tax.

Methods of Payment:
Check or Money Order Accepted. Please indicate your method of payment used:

_____Personal Check  _____Cashiers Check  _____Money Order

Please allow 1-2 weeks for delivery if personal check

Make Payment to:  Power Promotions, Inc.  

Send Payment to:
Power Promotions, Inc.
260 Eagle Estates Drive
DeBary, FL 32713