Krazy Kard Fundraising
(Snail Mail Order Form)

Customer Information

   Please select the boxes that apply: 

I'd like to place an order for "Krazy Kards"
Re-Order - We have started campaign and need more Krazy Kards.
Please Rush! (two day shipping of $10.00 will apply )
I'm not ready to order but please send me a Free Sample Krazy Kard.

   Date Ordered: ..............................................             Invoice No. ..............................................     



I was contacted by a Rep I received a FaxI was told by a friend I just found this Site
  forgot code  from rep forgot code  no codeno code


   Contact Person:..........................................................................................................................................

   Home Address::..........................................................................................................................................

   City: .......................................................  State: ..............  Zip:....................................................................

   Contact Person E-mail:  ................................................................................................................................

   Contact Person's Phone: ................................................ Hm.   Wk.    Cell   (circle one)

   Best time to call:    ......................................  a.m.    p.m.  (circle one)

   Contact Person's Alt. Phone: ................................................ Hm.   Wk.    Cell   (circle one)

   Best time to call:     ................................................  a.m.    p.m.  (circle one)         

   What is your title in organization? .....................................................................................................................

   Number of people in your group:  ......................................................................................................................

   What is your fund-raising goal?  $  ....................................................................................................................

  When do you plan to start your fund-raiser?  ...............................................................................

  **Very Important** Please let us know how you heard about us, which search engine you found us
                                  on? Or did you receive an e-mail from a friend?  
    Thank you very much!
  ...........................................................................................................................   

  ........................................................................................................................... 

  ........................................................................................................................... 

If ordering a Free Sample, or "Pizza Night" info 
     stop here and mail form.       


            Product Information

   No. of Cards Ordered:  .................... x    (Price per Card)   $3.00     =  Total for Cards   $ ....................

  

Select one shipping option     Shipping (add $5.00)   $..............................  
 (Two Day) Shipping (add $10.00)   $..............................
(Any order of 1,000 cards or more Free Shipping )

  Pymt. Type:  Check   Money Order   Credit Card                        Total owed   $ ....................
   (Check One)


Payment Information

     Check. #:  ..............................................       Amount of Check.:  ..............................................

    M.O. #:  ..................................................        Amount of M.O.:  ................................................  

Credit Card Info

  Credit Card No.   |_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|_  _|

  VISA   AMEX   M/C   DISC  (Circle One) 

   Expiration Date:  ..............................................    Amount to be charged to Card:  .............................................. 

   Cardholder Name:  ..........................................................................   Phone:  .......................................................   

   Cardholder Signature:  ..............................................   Date:  ...............................................................................


Print this form, fill it out and mail, along with payment, to:
KrazyKard.com
P.O. Box 851473
Mobile, AL 36685

All orders are sent out within 48 hours of receipt.
   Please keep a copy for your records.

Order By Phone -  877-909-6400