print out order form

Number of
SMART IDs		 Amount
including 
shipping		 TEXAS
Amount
including shipping &
sales tax
Billing Description
_____1
 3.70
4.01
SMART ID
_____1
 4.70
5.09
SMART ID & Ultra Fine Sharpie 
_____2
 6.75
7.31
SMART ID Buddy pack
_____2
 7.75
8.39
SMART ID Buddy pack & Ultra Fine Sharpie 
_____6
 13.80
14.94
SMART ID 6 Pack
_____6
 14.80
16.02
SMART ID 6 Pack & Ultra Fine Sharpie 
_____13
 25.85
27.98
SMART ID Baker's Dozen
_____13
 26.85
29.06
SMART ID Baker's Dozen & Ultra Fine Sharpie 
______Total  ______ Amount _______ Amount

Number of each color: ____ Red  ____ White ____ Lt.Blue _____  Dk. Blue
                                    ____Orange _____ Green _____Yellow ____ Purple

Payment form:  ___ Mastercard  ____ Visa ____ American Express _____ Discover _____ Check

Credit Card Number: _______________________________  Expiration Date _______________

Name of Card holder: _________________________ Signature _____________________ Date: ________
Billing Address Shipping address, if different

Name: _____________________________
Name: _____________________________

Street: _____________________________________
Street: _____________________________________

City____________________ ST ______ Zip ________
City____________________ ST ______ Zip ________
Mail order form and payment to:

 SMART ID
540 West 18th St
Houston, TX  77008
For additional information, call 1-888-540-9829 toll free.