Order Form

Please follow these steps to complete your order (Note: Standard Maxicap color is black. Please call 1.877.629.4227 to special order additional colors):

(A "" indicates required information)

Maxicap Price List Quantity Price Per Maxicap 1 - 100 $4.95 101 - 250 $4.70 251 - 500 $4.45 501 - 1000 $4.20 1001 - 2500 $3.95 2501 - 5000 $3.50 5001+ CALL

Shipping Prices Quantity Price 1 - 50 $2.50 51 - 100 $5.00 101 + $ .05 per cap

Contact Information:
Full Name
Company Name
Work Phone
Email Address
Fax
Shipping Information:
Street Address
City
State/Province
Zip/Postal Code
Country

Other Information:
How may caps would you like?
How did you hear about Maxicap?	Web Search Radio Colleague or Friend Reseller Advertisement Magazine Article Other
Please provide any additional details or questions here.

 

Order | Contact | History | Home