Providence Spillproof
P.O. Box 40672
Providence, RI 02940
or Fax it with credit card information to us at: (401) 273-2601
Ship To:
NAME: ___________________________________________________________
ADDRESS:________________________________________________________
CITY: _____________________ STATE: ______ ZIP:_____________________
PHONE:____________________EMAIL ADDRESS: _____________________
Bill To: __
Same as Above
NAME:__________________________________________________________
ADDRESS:_______________________________________________________
CITY: ______________________ STATE: _______ ZIP: _________________
__
Enclosed is my check payable to Providence Spillproof Container
Charge to: __VISA, __MASTERCARD,
CARD NUMBER:_______________________________________________
EXPIRATION DATE: ________SIGNATURE_______________________
EACH
PRICE
MERCHANDISE TOTAL:
SHIPPING CHARGE :
8.00
TOTAL AMOUNT DUE:
KCup: 2pk for $12KCup Lids: 6pk for $6
Please make checks payable to: Providence Spillproof Container
(888) 843-5287