Mail Order Form
                             Click here for printer friendly form
Print & fill out this form  for orders by mail with
check or money order
made out to  Coolflashlights.com
[Allow 3 to 4 weeks for delivery]


Your Name_______________________________________
Shipping Address__________________________________
City____________________ State________ Zip_________
Email Address____________________________________
Phone#_____________________

CC Type_________ CC#________________________________
Exp. Date___________ Sign_____________________________
*Billing Address if different from Shipping Address
_____________________________________________________

_____________________________________________________

Item#

Description

Price x

Quantity

= Total

Mail To: 
CoolFlashLights.com
P.O. Box 4422
Crofton, Maryland  21114

Subtotal

 

MD only
Add 5% Sales Tax

 

Shipping & handling

$ 9.95

Total Cost