Click here to Print out this form to order your CoolerMat™. Check your choice and put the quantity in the box indicated.

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Order Totals

Total Merchandise:

Sales Tax (6 % if applicable):

Total:

Customer Shipping Information

Name:
Address:
City, State, Zipcode:
Daytime Phone:	Email:

Billing Information (if different from Shipping Address)

Name:
Address:
City, State, Zipcode:
Daytime Phone:	Email:

Payment Information

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VISA	MASTERCARD
AMERICAN EXPRESS	Check or money order

Card #:	Expiration Date:
Signature:   X

Florida Residents Add 6% Sales Tax *Shipping & Handling is $13.50 excluding P.R. and Hawaii. CoolerMats™ and all of our products ship in 3 - 5 days, not weeks, from our factory in Melbourne, FL

Mail or fax to:

Boatmat Corporation 500 North Drive Suite 20 Melbourne, FL 32934

FAX number (321)-751-6973 - PHONE (321) 751-4636 or call toll free to order 1(866)-262-8628

Click here to Print out this form to order your CoolerMats™.
Check your choice and put the quantity in the box indicated.