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
   Blue _______ x $140 _________
   Black _______ x $140 _________
Showcase Inserts
   Blue _______ x $10 _________
   Black _______ x $10 _________
Showcase Covers
 _______
x $70
 _________
Table Lamp Clamps
 _______
x $35
 _________

 Subtotal

    
 _________

 Add Sales Tax for CA 9%

    
 _________

 Shipping & Handling

      

 1 or 2 Table or Showcase Covers $30.00

    
 _________

 1 or 2 Inserts or Clamps $20.00

    
 _________

 Total Enclosed

    
 _________