Print this order form and mail it to the address below.
Note: This form is not required. It is provided as a convenience. Simply include the following information with your order.
| Check One | Check One |
 Cash |
1 System
|
$19.95 |
| Check |
2 Systems |
$34.95 |
| Money
Order |
4 Systems |
$65.95 |
| 6 Systems |
$89.95 |
|
Please Print Clearly
|
|
| Name | |
| Address | |
| City, State, Zip | |
| Email (optional) |
Packages will be sent the same day we recieve your order. Clean 'n Clear is shipped in plain packaging. We pay for first class postage.
Check
here and include $3.50 for priority mail postage.
Please make checks payable
to Clean 'n Clear.
Send this order form with payment to:
Clean 'n Clear
2809 East Hamilton Av. #193PR
Eau Claire, WI 54701-6863
|
Clean 'n Clear |
Mail
this
form today! |
|---|---|