Grip Mate Products, Inc.
4850 Oak Arbor Drive  • Valdosta, GA, USA 31602
Phone/Fax: (229) 241-1114 or (800) 941-4505

If you would like to place an order, you can print this form out, complete it and mail it to us with your check or money order (U.S. funds only, please!). Sorry, we no longer accept credit card orders. Please call if you need any other information.

Please make checks payable to Grip Mate Products, Inc.

      _____  "Regular" Grip Mates @ $29.95 ea..........………..  ____________
               (longer gripping strap, can hold larger objects)

      _____  "Sport" Grip Mates @ $29.95 ea................………  ____________
 
             (shorter strap for swinging golf clubs, tennis rackets, etc)

     
 _____  "Child" or "Small Child" Grip Mate @ $29.95 ea…..  ____________
                   
(specify "Small Child" for ages 2-4)
       
       
Subtotal....................................................………………. ____________

     
 Add Shipping/Handling..............................………………..  ____________
     ($3.50 for up to six Grip Mates, $6.50 for six to twelve)

       
GA Sales Tax 7% (if applicable)...............………………….  ____________

      TOTAL ENCLOSED.................................………………...  ____________

Please call for information about Full Hand Amputee version, custom variations, volume discounts, faster shipping rates, or if you need additional information.

Please ship to:

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Attn
                                                   
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Hospital/Rehab Group (if applicable)

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Address

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City/State/Zip

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Telephone

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