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Keeping Time Clocks
ORDER FORM

1126 So. Wickham Rd.
Melbourne, FL  32904
Phone: 321-727-7581
Fax: 321-727-7581




Print and fill out this form, Fax it, or drop it in the mail with your check or credit card information. 


Clock/Watch Model No.______________________

Quantity: ___________   

Total Enclosed:_________________ (Include 6% Florida sales tax)
                                 (Shipping is FREE on small orders)

Name:_______________________________

Address:____________________________

City, State, Zip:_______________________________

Phone:_________________________






Credit Card (Circle)  VISA   MasterCard

Name on Card:_________________________________

Card No.______________________________________

Expiration Date:_______________________

 Check Enclosed