Tie Stay, Inc. 215 Dickinson Dr. Lewisville, TX 75077 1-800-TIESTAY [843-7829]
Website: http://www.tie-stay.com Email: sales@tie-stay.com


MAIL-IN ORDER FORM
Please print this form, complete the information and, if not paying with a credit card, mail it along with a check or money order for the total amount due to the address above.

INVISIBLE TIE STAY - You will receive three (3) Invisible Tie Stays in each package you order for just $5.00 plus $1.75 shipping & handling. Tie Stay, Inc. will ship up to 12 packages for only $1.75 shipping & handling.

COLLAR STYX - They are available in sets of 12 or 24.

PRODUCT QTY PRICE             TOTAL
Invisible Tie Stay pkgs. @
$5.00
= $
(3 Tie Stays per pkg.)
Collar Styx 12 sets --- $14.95 = $
Collar Styx 24 sets --- $25.95 = $
add $1.75 shipping ---> $        
Sub-Total: $
Texas residents add 8.25% sales tax on sub-total ---> $
Total Due: $




CREDIT CARD:      ___ Visa    ___ Mastercard     ___ AMEX
NAME ON CARD:
CARD NUMBER:    EXP:     /


NAME:       PHONE:
SHIPPING ADDRESS:
CITY:   ST:   ZIP:
EMAIL:

Make checks or money orders payable to "Tie Stay, Inc."

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