|
C-Clear™
ONLINE ORDERING is available on this website through
Merchant Services and is HIGHLY SECURED
by Authorize.net.
..........1
oz. CUPS .......... 1
oz. BOTTLES.........., GALLONS..........
"CLICK" here for TESTIMONIALS
or GUARANTEE.
 
Cashiers Checks or Money Orders.
We DO NOT ACCEPT 'PERSONAL CHECKS'.
Please submit the following Order Form if you want to mail
your order in with payment to ConsulTel, Inc. We appreciate
your business!
Order Form (print this page out
and mail with your payment)
|
Name |
|
Form of Payment: |
Shipping
Address |
|
Cashiers
Ck | MO | CC |
|
|
|
|
Telephone |
|
|
Email |
|
|
Name
on Credit Card
|
|
Circle
Card Type
Discover /MC /Visa |
Card
#
|
|
Exp.
Date : ________ |
Billing
Address |
|
Auth
Code: ________
(Last 3 digits on back) |
| |
|
|
|
Qty. |
Item
Description |
|
| |
1
oz. CUP(S) |
|
| |
1 oz. SPRAY BOTTLE(S) |
|
| |
GALLON
BOTTLE(S) |
|
| |
Sub-Total |
|
| |
Shipping
& Handling |
|
| |
(NV
Residents Add 7.25% Tax) |
|
| |
Total
Amount Due |
|
| S&H Calculations |
Sub-Total
Amount |
Shipping
& Handling |
| |
$6.95
- $7.98 |
$1.97 |
| |
$7.99
- $14.99 |
$2.97 |
| |
$15.00
- $17.49 |
$3.97 |
| |
$17.50
- $21.99 |
$4.97 |
| |
$22.00
- $29.99 |
$5.97 |
| |
$30.00
- $41.99 |
$6.97 |
| |
$42.00
AND UP |
$7.97 |
Make Cashiers Check or Money Order Payable
to: ConsulTel, Inc.
Mail to: 5217 China Creek
Court , Las Vegas, Nevada 89131
THANK YOU FOR YOUR BUSINESS! |
© C-Clear™ 
