Mail or Fax in your order

Print out the following order form and either:   

  1. Fax it to (609) 909-1647
  2. Snail mail it to:

    McCaland Innovations, LLC
    468 Clarkstown Road
    Mays Landing, NJ 08330
     

Yes! I would like to order a 6-Roll Sample Pack of EvacuTape™.

Name:  _________________________

E-mail: ________________________

Company (optional):  _____________
Address:  _______________________
City: __________________________
State: _________________________
Country: _______________________
Zip: ___________________________
Phone: (___) ____- ______


Please select your method of payment:

I am enclosing a check or money order for $64.74 USD plus my applicable shipping charge (see below). Please note that we do not accept checks by fax, so if you are paying by check you must mail it in.
 
Country Shipping rate  
USA
(except Alaska & Hawaii, see int'l shipping)
$13.64
Canada
$36.36
United Kingdom
$55.20
Australia
$60.76

 
I want to charge $64.74 USD plus my applicable shipping charge (see above) to my Credit Card.
Credit Card (check one):

VISA
MasterCard
American Express
Discover

Card Number: _________________________
Expiry Date: ________________

Signature: _____________________________

I authorize McCaland Innovations to charge $64.74.00 USD plus my applicable shipping charge to my credit card for the purchase of 6-Roll Sample Pack of EvacuTape™