Zakeez Mail / Fax Order Form

Leave a hand with your baby!®
Tel: (713) 9428186
  sales@zakeez.com  * www.zakeez.com

Instructions:

 Your information will NOT be saved online

          1- Fill the appropriate fields 
          2- Calculate fees
          3- Select Method of payment
          4-  Print this order form 
          5- Mail with Payment to
                 Zakeez (Sales)
                 P.O. Box 130202
                 Houston, Texas 77219 *  USA
                 Fax: +1 / (713) 942 9280

*=required for processing            Ship To:   

 Bill To:    Check here is same of Shipping

First and Last Name*:

First and Last Name*:

Address*:  Address*: 
City*: City*:
State/Province*: State/Province*:
Zip/Postal Code*: Zip/Postal Code*:
Country:  Country: 
Phone (include area code): Phone (include area code):
email: email:

Price (US$)

Quantity

Your Order:  

 Number of Zakys: Right: Left:
Price (Number of Zakys * $49.95):
Shipping + Handling (S&H):
__________________________________________________
Subtotal (Price + Shipping and Handling):
Coupon amount:
Texas Sales Tax ( Subtotal * 0.0825):
__________________________________________________
Total (Subtotal - Discount + Sales Tax):
Each Zaky US$49.95 each
Texas Orders:  Sales Tax = 8.25%
Shipping and Handling:
 Canada and US:Free
Express Mail (US and Canada):$10
International (no fax orders accepted)

If it is a gift, you may send a free message of up to 120 characters:

Method of Payment

By Credit Card: 
Visa,  Master Card, American ExpressDiscover
Name on the card:

Number:

Expiration month:  year:
By Check or Money Order (enclosed): Payable to "Zakeez"
Check Number: