Order Form
Please print this form, and Mail the information to us.
Pro Tek Covers
P.O. Box 1116
Placerville, CA 95667

Date _____________

Name ___________________________________

Address _________________________________

City _____________________ State ______ Zip __________

Telephone ( _____ ) ______ - ________

Mail To:
   Pro Tek Covers
   P.O. Box 1116
   Placerville, CA 95667
 

Payment Information (Circle One)


CHECK
 
PAYPAL E-MAIL ADDRESS
________________________________

 
 Qty

 Cost
Table Covers
   Red _______ x $125 _________
   Blue _______ x $125 _________
   Black _______ x $125 _________
Showcase Inserts
   Red _______ x $10 _________
   Blue _______ x $10 _________
   Black _______ x $10 _________
Showcase Covers
 _______
x $65
 _________
Table Lamp Clamps
 _______
x $22
 _________

 Subtotal

   
 _________

 Add Sales Tax for CA 9%

   
 _________

 Shipping & Handling

     

 1 or 2 Table or Showcase Covers $20.00

   
 _________

 1 or 2 Inserts or Clamps $10.00

   
 _________

 Total Enclosed

   
 _________