Order form - Schockproof Shipping

SchockProof Shipping
2236 E Sommerhauser Cir
Derby, KS 67037
http://www.schockproof.com
phone 316-650-3939 fax 316-729-5327
Starter Kits
Subtotal
Home Starter Kit
(#SK101) - $125.00
Small Group Starter Kit
(#SK102) - $187.00
Large Group Starter Kit
(SK103) - $368.00
1 VisTAR Ball
1 Brain Buddy Board
4 Sandbags (green, yellow)
1 Dozen High Bounce Balls (green, yellow)
1 VisTAR Ball
1 Brain Buddy Board
24 Sandbags (green, yellow)
2 Dozen High Bounce Balls (green, yellow)
1 VisTAR Ball
2 Brain Buddy Board
48 Sandbags (green, yellow)
4 Dozen High Bounce Balls (green, yellow)
___Quantity
___Quantity
___Quantity
SchockProof High Bounce Balls
Item #
qty
Indicate the number of dozens of each color for your gross
(dozens may not be split)
by the Gross -12 dozen
$125.00
Gross
Balls
qty
by the Dozen – one color per
dozen
$13.00
qty
Green
Red
Yellow
Indicate the colors and quantity of dozen High Bounce Balls
(dozens may not be split)
Dozen
Balls
by the Single
$1.35
Blue
Blue
Green
Red
SPRG
SPRD
Yellow
Indicate the colors and quantity of single High Bounce Balls
Single
Balls
SPRS
Blue
Green
Red
Yellow
SchockProof Sandbags
qty
Bulk – 100 bags
$200
Indicate the quantity of each color to include in your bulk order
Bulk
Sandbags
qty
Each
$2.50
Brain Buddy Board - $95.00
VisTAR Ball - $6.00
Please email [email protected] for shipping quotes
outside the contiguous United States.
Purchase Orders accepted
Green
Red
Yellow
Indicate the quantity of each color sandbag(s)
Individual
Sandbags
Make checks payable to SchockProof Shipping
Blue
SPSBB
SPSBP
Blue
Green
Red
QTY:
QTY:
Yellow
BBBBD
VISTAR
Subtotal all items
U.S. Shipping and Handling (15%) – minimum $7.50
Subtotal products and shipping
KS residents add local sales tax
Total
Shipping Address
Name
Address
Address
City, State, Zip
Country
Please include contact information in case of
questions regarding your order
Phone:
Email: