PopupGizmos©

Decal Order Form

Your Name:______________________Your Email:_____________________

Your Address:

         Street:_______________________________

         City:   _______________________________

         State: _______________________________

         Zip Code:___________

The PopupGizmos Vinyl Decal.......................$3.99 (Postage included)

Quantity............_____ X $3.99 =   Total ___________

Texas residents add 8.25% sales tax .......___________

                                        TOTAL.......... ___________

Mail the form with your check or money order to:

PopupGizmos                                          

34 Green View Circle

Richardson, TX 75081