KISS_logo.jpg (8010 bytes) PERSONALIZED INKBEND PEN
ORDER FORM

InkBend PEN Style 03

To order the Inkbend pen at left, use the convenient online order form below.  Your order will be processed immediately.

 

If you wish to order by mail, print this page, fill in the form and mail to:

KISS Manufacturing
P.O. Box 150
Franklin, NC 28744

You can FAX the form to our toll-free number 888-524-6293 or call us toll-free at 800-262-2868.

ONLINE ORDER FORM

Quantity ordered (check one box):   250 for  $ 210.00
                                                         500 for  $ 366.00
                                                         1000 for $ 680.00
                                                         2500 for $1,590.00

Note: A $45.00 plate charge will apply to any new pen order.  Plate charge will not apply to reorders placed within 2 years.

Shipping and handling charges will be added to your order.
 Additional shipping charges will apply for all orders to Puerto Rico

Select Pen Barrel Color
Transparent Yellow/Green
Transparent Pink
Transparent Blue
Transparent Teal
Transparent Green
Transparent Purple
Transparent Red
Opaque Teal
Opaque Green
Opaque Burgundy
Opaque Pink
Opaque Orange
Opaque Purple
Opaque Blue
Opaque  Lime Green
Opaque Yellow
Opaque Fuchsia
Opaque Red
Opaque Brown
Opaque White
Opaque Black
 

Type your ad copy below (up to 4lines total).  Check the BOLD box to place this line in bold type.
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SHIPPING ADDRESS (required)

     Name
     Business Name
     Address
     Additional address (Suite #, etc.)
     City         ZIP
     Telephone Number (XXX-XXX-XXXX)
       EMAIL address

BILLING ADDRESS
Is your BILLING ADDRESS different from your SHIPPING ADDRESS?  If so, enter your BILLING ADDRESS below.  Otherwise, you may leave blank.

     Name
     Business Name
     Business Address
     Additional address (Suite #, etc.)
     City            ZIP
     Telephone Number (XXX-XXX-XXXX)
       EMAIL address

SPECIAL INSTRUCTIONS
Type any special instructions for your order below.

Please perform a final check of all information on this form before submitting your order.  Once you are sure all information is correct, click on the SUBMIT ORDER button below.  Thank you for your order.

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