Order by Phone, Fax or Mail
|
Call us toll-free at |
or print this form & fax us at: | or print this form & mail it to: |
| 1-888-WALL-LIFe (925-5543) |
1-847-297-3558 |
Wall Life, Inc. |
|
8:00 a.m. - 5:00 p.m. central time |
110 S. River Road | |
| Des Plaines, IL 60016 |
Please use the color code when ordering.
If no color is listed on the order form, we will choose the color
for you.
Payment Method
(all U.S. currency
please)
Check or Money
Order, payable to Wall Life, Inc. (no c.o.d.'s or cash)
Or
Charge to my __ NOVUS/Discover
__ MasterCard __
VISA
Card
Number _______ ________
_______ ________
Exp. Date
(month/year) ___
___
Signature (must
include) ___________________________
Phone Number
________________________________