Order form for Medical Alert Wallets

"A New Feeling of Safety and Security"

 
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Medical Alert Wallets order form is a easy way to get a Medical Wallet.

Just print this order form, fill it out and send it to Medical Alert Wallets with your check or money order (US dollars) Thank you

 Order Form                             Wallet Name               Price    Qty    Color       Total 

Name_____________________  Neck Wallet w/1 zipper    $4.14    ____   _blue_     _______

__________________________  Neck Wallet w/2 zippers  $4.24   ____   ______    _______

Address___________________  Bi-fold Neck wallet           $5.16   ____   ______    _______

__________________________  Street Smart wallets         $6.65   ____   _black_   _______

City______________________   Hipster leather wallets       $6.95   ____   ______    _______

__________________________  Small Hipster Max billfold  $8.45   ____   ______    _______

State_______ ZIP___________   Wide Hipster Billfold        $14.95   ____   ______    _______

Mail to; Medical Alert Wallets  Credit Card ID wallet       $11.95   ____   ______   _______

      30 Thirteenth Street #D   Credit Card ID w/gold      $11.95   ____   ______   _______

   Hermosa Beach, CA 90254  Slim-fold leather billfold    $9.95  ____   ______   _______

                                                 Exterior ID Bi-fold wallet   $12.95  ____   ______   _______

                                                 Bi-fold flip ID natural wallet $14.95  ____   ______   _______

                                                 Bi-fold flip ID w/gold wallet $14.95  ____   ______   _______

                                                 Exterior ID Tri-fold wallet   $11.95  ____   ______   _______

                                                 Tri-fold Leather natural      $14.95  ____   ______   _______

                                                 Tri-fold Leather w/gold      $14.95  ____   ______   _______

                                                 Checkbook wallet            $13.95  ____   ______   _______

                                                 Deluxe checkbook wallet  $15.95  ____   ______  _______

                                                 Leather Pouch                   $9.55  ____   ______  _______

                                                 Nylon 'Sports' wallets         $6.95  ____   ______   _______

                                                 Travel Lite wallets              $6.95  ____   _khaki_  _______

                                                 Nylon wallets w/black trim  $6.65  ____   ______  _______

                                                 Tri-fold Medicine wallets     $5.95  ____   ______  _______

 Extras, Clear card holder insert, Top Load___ Side Load___   $.75  ____  _clear_  _______

                          Checkbook clear plastic credit card insert   $1.50  ____  _clear_  _______

                                                                                                  subtotal _____________

Shipping US & Canada is $1.85 for a $15.99 value, then $1.60 each $16 value ___________

Outside US & Canada please check with us! 

                                                       **California residents add 8.25% sales tax _________

             Personal Check ____     Money Order  ____               

      “Copyright, Medical Alert Wallets, all Rights Reserved”    Total _____________

"Get a Safe and Secure feeling with a Medical Wallet on you"

 
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"Copyright, Medical Alert Wallets, All Rights Reserved"