Jackstuff.com
Mail Order Form

Download this form by selecting PRINT in your browser menu.
Quantity Printer Brand & Model Cartridge Number Refill Kit Price Total
      Black 14.95  
      Color 29.95  
      Photo Color 29.95  
       Black 14.95  
      Color 29.95  
      Photo Color 29.95  
Other Items:
           
           
        Sub-total:  
         Shipping: $3 per refill kit
others as listed (max.$8)		  
        NY residents add
8% sales tax		  
          TOTAL:  

Name: ___________________________________________________________

Address: _________________________________________________________

City: __________________________________ State :_____ Zip: _____________

Phone: (______)__________________ E-mail: ___________________________

Check _____ or money order _____ payable to: Jackstuff.com, or

Credit card: #______________________________   expiration date: _________

Cardholder's name on card, if different from above ____________________________


Mail orders  - send form to: Jackstuff.com, 811 Shoemaker Rd., Webster, NY 14580

Phone orders - (585) 787-1750