Simply 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___________________  Bifold Neck wallet          $5.16   ____   ______    _______

__________________________  Street Smart wallet         $6.65   ____   _black_   _______

City______________________   Hipster leather wallet       $6.95   ____   ______    _______

__________________________  Small Hipster Max wallet $8.45   ____   ______    _______

State_______ ZIP___________   Wide Hipster wallet       $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  Slimfold leather wallet   $9.95   ____   ______   _______

                                                 Exterior ID Bifold wallet $12.95  ____   ______   _______

                                                 Bifold flip ID natural       $14.95  ____   ______   _______

                                                 Bifold flip ID w/gold        $14.95  ____   ______   _______

                                                 Exterior ID Trifold wallet $11.95  ____   ______   _______

                                                 Trifold Leather natural    $14.95  ____   ______   _______

                                                 Trifold Leather w/gold     $14.95  ____   ______   _______

                                                 Checkbook wallet           $13.95  ____   ______   _______

                                                 Deluxe checkbook wallet $15.95  ____   ______  _______

                                                 Leather Pouch                  $9.55  ____   ______  _______

                                                 Nylon 'Sports' wallet         $6.95  ____   ______   _______

                                                 Travel Lite wallet               $6.95  ____   _khaki_  _______

                                                 Nylon wallet w/black trim   $6.65  ____   ______  _______

                                                 Trifold Medicine wallet      $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 Alert Wallet on you"