To Order through PayPal (faster, secure, credit card orders, currency exchanges, etc.)
To Order by Mail (please print and mail to address above)
Please make checks or money orders payable to Grip Mate Products, Inc. (US Funds only, please)
_____ “Regular” Grip Mates @ $39.95 ea ............................ ____________ (longer gripping strap, can hold larger objects)
_____ “Sport” Grip Mates @ $39.95 ea ................................. ____________ (shorter strap for swinging golf clubs, tennis rackets, etc)
_____ “Child” or “Small Child” Grip Mate @ $39.95 ea ..... ____________ (specify “Small Child” for ages 2-4)
Subtotal .......................................................................................... ____________
Add Shipping/Handling (US) ...................................................... ____________ ($6.00 for up to six Grip Mates, $10.00 for six to twelve, e-mail us for international rates)
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:
____________________________________________________________
Attn
____________________________________________________________
Hospital/Rehab Group (if applicable)
____________________________________________________________
Address
____________________________________________________________
City/State/Zip
____________________________________________________________
Telephone/E-Mail
_____ “Regular” Grip Mates @ $39.95 ea ............................ ____________ (longer gripping strap, can hold larger objects)
_____ “Sport” Grip Mates @ $39.95 ea ................................. ____________ (shorter strap for swinging golf clubs, tennis rackets, etc)
_____ “Child” or “Small Child” Grip Mate @ $39.95 ea ..... ____________ (specify “Small Child” for ages 2-4)
Subtotal .......................................................................................... ____________
Add Shipping/Handling (US) ...................................................... ____________ ($6.00 for up to six Grip Mates, $10.00 for six to twelve, e-mail us for international rates)
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:
____________________________________________________________
Attn
____________________________________________________________
Hospital/Rehab Group (if applicable)
____________________________________________________________
Address
____________________________________________________________
City/State/Zip
____________________________________________________________
Telephone/E-Mail
