Our Fax Number: 610-588-4932

Our Phone Number: 888-333-5038

 Cooler Coverups™ ORDER FORM

 Shipping address (if different from "sold to" info):
NAME: NAME:
ADDRESS: ADDRESS:
CITY: CITY:
STATE: STATE:
ZIP CODE: ZIP CODE:
DELIVERY PHONE:
GIFT CARD MESSAGE:
 
EMAIL ADDRESS:
 ITEM  Quantity  $19.95@  Total
 UNCLE SAM
 MOOOOO
 HAPPY JACK-O
 COOLER CLAUS
 POINSETTIA
 FLOPPY
 THIRSTY FACE      
 PETAL PUSHER
 COOLER BOTTLE BILLBOARD COVERUP
 HAPPY HOLIDAY TREE
 BIRDIES and BOGIES      
 COFFEE BREAK      
Method of payment
VISA

Master Card
Discover
Check or Money Order
Account Number:
       
Expiration Date:
MO. YR.
Signature:

Value of order:
 PA residents add 6% tax
 Regular shipping via USPS -add $5.00*

 
 

* Add $2.50 per cover for additional units  

 Total:

Cooler Coverups - c/o Third Associates, 600 S. Murray Street, Bangor, PA 18013