Tie Stay, Inc. 215 Dickinson Dr. Lewisville, TX 75077 1-800-TIESTAY [843-7829] Website: http://www.tie-stay.com Email: sales@tie-stay.com MAIL-IN ORDER FORM

Please print this form, complete the information and, if not paying with a credit card, mail it along with a check or money order for the total amount due to the address above. INVISIBLE TIE STAY - You will receive three (3) Invisible Tie Stays in each package you order for just $5.00 plus $1.75 shipping & handling. Tie Stay, Inc. will ship up to 12 packages for only $1.75 shipping & handling. COLLAR STYX - They are available in sets of 12 or 24.

	PRODUCT QTY PRICE             TOTAL Invisible Tie Stay pkgs. @ $5.00 = $ (3 Tie Stays per pkg.) Collar Styx 12 sets --- $14.95 = $ Collar Styx 24 sets --- $25.95 = $ add $1.75 shipping ---> $         Sub-Total: $ Texas residents add 8.25% sales tax on sub-total ---> $ Total Due: $

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