FLEX-MATS Inc.

800-506-0262


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Mail Order Form

Shipping Information

Name ___________________________
Address ________________________
City___________________________
State/Zip______________________
Home phone______________________
Other phone_____________________
Email___________________________

Billing Information/Payment Amount $__________

Check, Money Order, Visa or MasterCard (circle one)
Acct#___________________________
Expiration date_________________
Billing name & address if different from shipping info
_______________________________
_______________________________
_______________________________

Product Selection

Item Description____________________
Item #_________________________
Quantity_______________________
Size___________________________
Color__________________________
Price__________________________
Shipping cost__________________

Product selection

Item
Description___________________  
Item #________________________  
Quantity______________________
Size__________________________
Color_________________________
Price_________________________
Shipping cost_________________

Print this form, fill it out, and mail to FLEX-MATS Inc.


FLEX-MATS Inc.

Products  
Copyright (C) 2000-2016
Mail orders with check or money order to: FLEX-MATS Inc.
P.O. Box 9271, Naperville, IL  60567
800-506-0262 or fax 800-692-9850
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