Lanyards - Imprinted Visors - Coilers - Gifts

If you like our laces, visors, and novelty items,
just print out this order form, complete and send it to the address below!

1. Print Out This Order Form
2. Enter the quantity of each item you would like to order
3. Total Order and complete the payment information
4. Mail completed form to the address below

We accept Visa, MasterCard and Checks.

SOLID LACES:	COMBINATION LACES:	NEON LACES:
___Black	___Camouflage	___Neon Green
___Brown	___Magenta/Teal/Black	___Neon Pink
___Denim	___Red/White/Blue	___Neon Yellow
___Magenta	___Red/Black
___Navy	___Yellow Rainbow
___Purple	___White/Black
___Red	GLITTER LACES:
___Royal Blue	___Magenta/Teal/Gold	___Black/Gold
___Tan	___Purple/Pink/Silver	___Black/Silver
___Teal	___White/Gold	___White/Silver
___White	___Neon Pink/White/Silver
VISORS: (Call when placing order for specific fabric patterns)
___Metallic	___Solid Blue	___Solid Black
___Glitter	___Solid Red	___Americana
___Golf	___Solid White	___Animal (child)
LANYARDS: (Call when ordering specific fabric patterns)
___Brights	___Animal Print/Camo	___Specialty Prints
___Solids	___Assorted Prints	___Americana
PATRIOTIC ITEMS:
___Lanyards	___Bottle Holders
LIPTHINITY:
Choose colors:	___Knockout Neutral	___Reddie or Not
LIVE, LOVE, LAUGH TEE:
___Small	___Medium	___Large
___XLarge	___XXLarge +$2.00 add'l

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

ITEMS	PRICES	AMOUNT
Coiler Laces:	$3.00/pair	$_________________
Ponytail Keeper:	$3.00/each	$_________________
Visors:	$5.00 each	$_________________
Animal Visors (child):	$4.50 each	$_________________
Lanyards:	$3.50/each	$_________________
Patriotic Lanyards:	$4.00/each	$_________________
Patriotic Bottle Holder:	$4.00/each	$_________________
Lipthinity:	$14.95/each	$_________________
Live, Love, Laugh Tee:	$8.95/each	$_________________
Live, Love, Laugh Tee (xxl):	$10.95/each	$_________________
SHIPPING & HANDLING: $4.25 for orders up to $25 $10.00 for orders $25 to $50 $15.00 for orders $50 to $100+		$_________________
Arizona residents add 8.25% sales tax		$_________________
TOTAL:		$_________________

SHIP ORDER TO: (Please print)

Name____________________________________________________________________

Address__________________________________________________________________

City__________________________________ State________________ Zip__________

IF PAYING BY:

MasterCard Visa (Circle one)

________________________________Card Number

_______________________________Expiration Date

_____________________________Cardholder Name

___________________________Cardholder Signature

MAIL ORDER TO:

Joy Solin Smith Enterprises
12459 N. 116th Street
Scottsdale, AZ 85259
tel. 480-314-4234
fax 480-314-0878
Joy@coilersplus.com
Website: www.coilersplus.com

OR MAKE CHECK PAYABLE TO:
Joy Solin Smith Enterprises