|
Order by Mail:
Your order is protected by our unconditional money-back guarantee.
If you are dissatisfied with our product for any reason, please return your product to the address below for a full refund.
To order by mail, print this form using File -> Print in your browser.
Please mail your completed form along with a check (payable to Great Grips) to:
Great Grips
6545 White Falcon Ct.
Colorado Springs, CO 80919
(allow two weeks for delivery)
| Name: |
 |
 |
| Address: |
|
|
| City/State/Zip: |
|
|
| Please indicate the number of items you wish to order in each category: |
|
 |
| |
Quantity |
|
Price |
|
Total |
|
Clear
(2 in package) $7.95 |
 |
|
|
|
|
|
Antimicrobial Clear
(2 in package) $9.95 |
|
|
|
|
|
|
|
 |
| |
Quantity |
|
Price |
|
Total |
|
Faucet Combo
(2 in package) $7.95 |
|
|
|
|
|
|
Antimicrobial Faucet Combo
(2 in package) $9.95 |
|
|
|
|
|
|
|
 |
| |
Quantity |
|
Price |
|
Total |
|
Glow-in-the-Dark
(2 in package) $8.95 |
|
|
|
|
|
|
Antimicrobial Glow-in-the-Dark
(2 in package) $10.95 |
|
|
|
|
|
|
|
 |
| |
Quantity |
|
Price |
|
Total |
|
Home Modification Kit
(5 in package) $16.95 |
|
|
|
|
|
|
|
| Subtotal $ |
 |
|
Colorado state residents add 4.9% sales tax or
Colorado Springs residents add 7.4% sales tax |
|
|
| Plus $3.95 shipping and handling |
|
|
Total $ |
|
| |
|
|
|
|
