keenswag O R D E R F O R M
Website: Http://www.keenspot.com Email: keenspot@keenspot.com
DATE: ______________________________
NAME: ______________________________
BILLING STREET ADDRESS: ______________________________
APT # ___________
CITY:_________________________
STATE: ______________________________
COUNTRY: ______________________________
SHIPPING STREET ADDRESS: ______________________________
APT # ___________
CITY:_________________________
STATE: ______________________________
COUNTRY: ______________________________
PHONE NUMBER: ______________________________
EMAIL ADDRESS: ______________________________
PAID BY CHECK: Check # ______________________________
NAME ON CREDIT CARD: ______________________________
CREDIT CARD TYPE: ______________________________
CREDIT CARD NUMBER: ______________________________
EXPIRATION DATE: ______________________________
SIGNATURE: ______________________________
QUANTITY_____ ITEM NAME: ___________________________
COST __________________
QUANTITY_____ ITEM NAME: ___________________________
COST __________________
QUANTITY_____ ITEM NAME: ___________________________
COST __________________
SHIPPING & HANDLING FEE: ________________
South Dakota SALES TAX (4.00%):_________________
We accept all forms
of payment: Over the Internet by PayPal and credit cards; over
the phone by credit cards at 1-888-keenspot (1-888-533-6776, toll free!); and
through the mail by credit cards, checks and money orders sent to Keenspot
Entertainment, P.O. Box 110, Cresbard, SD 57435.
Questions? Suggestions?
Comments? Email us at keenspot@keenspot.com
Thanks for your order. It's appreciated!