Thomas S. Klise Co. Printable Order Form

Please fill in these fields, print and mail or FAX with your check, money order,
credit card information or purchase order information to:

Thomas S. Klise Company
PO Box 720
Mystic, CT 06355

Telephone (860) 536-4200 Fax (860) 536-5141

School Name
Address
City
State
Zip
Phone
e-mail
Purchase Order #
CC # Type
Item Ordered
 		QTY
 Price Each
 Total
Sales Tax (CT 6%)    
Shipping    
TOTAL Enclosed    

We ship as fast as we possibly can. Please allow two weeks for delivery.
Charges for shipping, handling, and insurance are as follows:

Up to $50 $4.00
$51 to $100 $6.00
$101 to $150 $8.00
Over $150 add 7% (maximum $30.00)