Order Form

		154 Liberty Drive Bensalem, PA 19020
		Ph: 215-639-4325 Fax: 215-639-4326

Please fill out the information below to order the items you would like to purchase.
Fields marked with an * must be completed.

Please print out this page and mail with your check or money order to the address below.

You can now pay for your order through Pay Pal.

If you are not registered with Pay Pal click on the Pay Pal seal and you can use your Visa or Master Card.

Our Pay Pal account is sales@kollarkovers.com

Please provide the following contact information:

First Name *
Last Name *
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Country *
E-mail *
Home Phone
Work Phone
FAX

KollarKovers
Quantity *
Size *
Pattern - please write in numbers *

Please click here to choose patterns and obtain pattern numbers
NattyNeckerchiefs
Quantity *
Size *
Pattern - please write in numbers *

Please click here to choose patterns and obtain pattern numbers

Please add any additional ordering information or comments.

Please include $1.00 for shipping and handling on all orders under $15.00

Free shipping on all orders over $15.00

Please make checks out to Nancy Jamison. Thank you

Please print out this page and mail with your check or money order to the address below.

We will e-mail you when we receive your order if you included your e-mail address.

Thank you for your order.

		Kollar Kovers and Natty Neckerchiefs		For more information please e mail us.
		154 Liberty Drive Bensalem, PA 19020
		Ph: 215-639-4325 Fax: 215-639-4326

		e-mail: sales@kollarkovers.com
		Copyright © 2003 - 2008 KollarKovers.com All rights reserved. This page in its entirety is the intellectual property of KollarKovers.com and is copyright protected. Violations of the copyright will be fully enforced!