Enter Shipping Information Before selecting Filter Pads below or Prices may not be Correct Ship to Company?-- (Leave blank if not sending to a Company)
First Name ----------- (We always send to your attention)
Last Name -----------
Phone -----------------
Cell Phone ----------- *Shipping Address- *Required before Selecting Filter Pads Below *City/Town --------- *Required before Selecting Filter Pads Below *State/Province --- *Required before Selecting Filter Pads Below *Postal Code ----- (If none used in your area indicate "None") *Country ---------- *Required before Selecting Filter Pads Below Ordering Product --- Select from this list Four Smart Cooling Filters DO NOT SELECT until you fill in your address above or the Price may be wrong, however send the order anyway as we will correct it and get your agreement before shipping. Place a 1 (one) here: Price in US $ Send the Order even if price is not correct, as we will correct the price and receive your agreement before shipping. Total that you Authorize -- US $-- Price includes S/H normally with the USPS. If there is a Price difference we will clarify it with you to get your okay before we ship. We accept Master Card, Visa, Discover, American Express Credit Cards & PayPal (below) Credit Card # ------------ Expiration Date --------- Card Verification # ----- What is it? Are Credit Card Statements Sent to the address we are shipping? Yes or No -- Use the line below for the address your Credit Card Statements are sent if different from the Shipping Address: