StuFFeD Tire Sealant Co.
Online Order Form
For US Residents
For International shipments please call or fax for shipping quotes.
If you don't have a "Forms Capable" Browser, just print the information below and fax this form to (816)795-0585. Or give us a call at (816) 795-0585.
Name:
E-Mail:
Company:
Address:
City, State, Zip:
,
Area Code
& Phone #:
(
) -
Quantity:
Select Quantity
1 Bottle $3.99 + $5.50 S&H = $9.49
2 Bottles $7.98 + $5.50 S&H = $13.48
3 Bottles $11.97 + $5.50 S&H = $17.47
4 Bottles 15.96 + $5.50 S&H = $21.46
5 Bottles 19.95 + $5.50 S&H = $25.45
6 Bottles 23.94 + $5.50 S&H = $29.44
7 Bottles 27.93 + $6.00 S&H = $33.93
8 Bottles 31.92 + $6.00 S&H = $37.92
9 Bottles 35.91 + $6.00 S&H = $41.91
10 Bottles 39.90 + $6.00 S&H = $45.90
11 Bottles 43.89 + $6.00 S&H = $49.89
12 Bottles 47.88 + $6.00 S&H = $53.88
13 Bottles 51.87 + $6.00 S&H = $57.87
14 Bottles 55.86 + $6.00 S&H = $61.86
15 Bottles 59.85 + $6.00 S&H = $65.85
16 Bottles 63.84 + $11.00 S&H = $74.84
17 Bottles 67.83 + $11.00 S&H = $78.83
18 Bottles 71.82 + $11.00 S&H = $82.82
19 Bottles 75.81 + $11.00 S&H = $86.81
20 Bottles 79.80 + $11.00 S&H = $90.80
21 Bottles 83.79 + $11.00 S&H = $94.79
22 Bottles 87.78 + $11.00 S&H = $98.78
23 Bottles 91.77 + $11.00 S&H = $102.77
24 Bottles 95.76 + $11.00 S&H = $106.76
25 Bottles 99.75 + $11.00 S&H = $110.75
26 Bottles 103.74 + $13.00 S&H = $116.74
27 Bottles 107.73 + $13.00 S&H = $120.73
28 Bottles 111.72 + $13.00 S&H = $124.72
29 Bottles 115.71 + $13.00 S&H = $128.71
30 Bottles 119.70 + $13.00 S&H = $132.70
Other
IF OTHER:
Quantity:
Multiply by $3.99 Each
Add Shipping & Handling:
($100 - $200 =
$13
/ $200+ =
$15
)
Total of Order:
Comments:
For Orders Paid By Check Or Money Order:
Please Print This Form And Send With Payment To The Address Below
Or give us a call at (816) 795-0585.
Payment Type
MasterCard
Visa
Check
Money Order
Credit Card number
exp:
Please check over your information then press the submit button.
Thank you for your business!
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StuFFeD Tire Sealant Co.
P.O. Box 40105
Overland Park, KS 66204-1005
Phone (816) 795-0585 Fax (816) 795-0585
http://www.aias.com/pages/sealant.htm