PRINT THIS ORDER FORM AND E-MAIL US AT SUPERSOCKMONKEY.COM@GMAIL.COM FOR SHIPPING INFO. WE ACCEPT CHECK, MONEY ORDER AND CREDIT CARDS.

Supersockmonkey.com

18 Gandhi Drive Durham, NC 27703

Date:

Email:

Circle Payment Method Check, Money Order, or Credit Card

Print Name:

 

Signature:

Address:

City State and Zip:

Telephone:

Type of Credit Card:

 

Credit Card #:

 

Expiration Date:

Security Code on back of Credit Card:

 

Item #

 

Item Name, Size and Color

Quantity

Price

       
       
       
       
       

Subtotal:

 

 

Shipping & Handling ($5.25-$13.25 E-mail us for your rate)

 

 

 

NC Residents must add 6.75% Sales Tax:

 

 

 

MAKE CHECK / MONEY ORDER PAYABLE TO: SUPERSOCKMONKEY.COM

Total: