Gadget Corner Catalog - Ordering Information

ORDER FORM
Please print out to use as you view our catalog.

ORDERED BY:

SHIP TO: (If different)

Name:______________________________

Street:_____________________________

City:_______________________________

State, Zip Code:______________________

Business: or Residence:

Name:______________________________

Street:_____________________________

City:_______________________________

State, Zip Code:______________________

Business: or Residence:

Daytime Phone Number:_______________________
(Your information is confidential and will only be used to contact you about or with, your order.)

	Item #	Product Description	Color	Qty	Cost Ea.	Total
1
2
3
4
5
Check, Money Order & Credit Card Payments Accepted				SUBTOTAL
				ADD SALES TAX (8.5% within IL)
				SHIPPING CHARGE (see table below)
				TOTAL

Payment Method

Visa

MasterCard

Discover

Check / Money Order Enclosed

To Order By Mail -
Send check or money order to:
Gadget Corner® Corp
1505 Old Deerfield Rd.
Highland Park, IL 60035

To Order By Phone:
(847) 266-0205
To Order By Fax:
(847) 266-7716

Card # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

Exp. Date: ________________

Name on Card: _______________________

Signature:___________________________

Telephone Number:____________________
(required on all credit card orders)