Order Form

Keeping Time Clocks
ORDER FORM

1121 So. Wickham Rd. #B1
Melbourne, FL 32904
Phone: 321-727-7581
Fax: 321-727-7581


Clock/Watch Model No.______________________

Quantity: ___________   

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

Name:_______________________________

Address:____________________________

City, State:_______________________________ Zip:__________

Phone:_________________________



(Circle One)
Debit Card   VISA   MasterCard

Name on Card:_________________________________

Card No.______________________________________

Expiration Date:_______________________

Check Enclosed

Fill out this form, Fax it, or drop it in the mail with your check or credit card information. Please call if you have any questions.

Keeping Time ClocksORDER FORM

1121 So. Wickham Rd. #B1 Melbourne, FL 32904 Phone: 321-727-7581 Fax: 321-727-7581

Keeping Time Clocks
ORDER FORM

1121 So. Wickham Rd. #B1
Melbourne, FL 32904
Phone: 321-727-7581
Fax: 321-727-7581