Offline Order Form

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Print this form to order offline.

Description

Quantity

Price

Total

           
           
           
           
           

Priority Mail shipping will be added

Mail to:
Tague Technologies Inc.
PO Box 29137
Thornton CO 80229-0137

Name_________________________________________

Address_______________________________________

City____________________ State_____ Zip_______   Phone _____-_____-________

                                                        Call toll free voice 800-743-5392 or 303-287-3852
 Payment Method: (check one)                           Fax to: 303-287-1707

Visa  Mastercard  Discover Check/Money Order (add 15% shipping $6.85 Minimum)

Card # ________ ________ ________ ________  Exp Date _________  Last 3 digits on the signature line ________

Signature (Required for credit card) _________________________