Please Remit Payment To:

Kayjon Gifts
421 N Main St
Rice Lake, WI  54868
Email: customerservice@kayjons.com
Website: www.kayjons.com
Please Rush my order for the items I have requested. I am paying for this merchandise by:
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Name

Address

City

Phone
State

Email
Item #         Qty                         Description                                    Scent                 Price        Total
Shipping Chart
These charges represent only a part of the actual costs. We'll
pay the rest. If your order is:

Up to $9.99..........................................................add  $4.05
$10.00 to $24.99..................................................add  $8.10
$25.00 to $34.99..................................................add  $10.00
$35.00 to $49.99..................................................add  $12.00
$50.00 & over......................................................add FREE
ORDER FORM
Zip
Merchandise Total
Sales Tax (WI Res. Only)
Shipping (See Chart)
Total Amount Enclosed
Thank you for your order!
Personal check
 Money Order
 Cashiers Check