Got Water? Printable Order Form

ORDER FORM

Print out this form, fill it out, make a copy and mail.

Billing Information:

Name:_________________________________

Address:_______________________________

______________________________________

City:_____________State:______Zip:_______

Phone:_________________________________

Shipping Information: (if different)

Name:_________________________________

Address:_______________________________

______________________________________

City:____________State:______Zip:________

Phone:_________________________________

METHOD OF PAYMENT

(Make payable to High Touch)
Then mail to:

HighTouch
P. O. Box 140661
Edgewater , Colorado 80214-1896
(please allow 2-3 weeks for delivery)

Check

Money Order

Sub Total

Sales Tax
(CO Resident add 4.3%)

Shipping & Handling
(See product description)

TOTAL

$_____________

$___12.95_____

$_____________

Please make copy for your records.