TO PLACE AN ORDER: Simply print out this page, fill out the information, and mail to:

  For Faster Service, Call Us At (561) 627-5090 Out of Town Order Toll Free (877) 977-7775

KMA INDUSTRIES INC.
128 Caravelle Drive
Jupiter, Florida 33458

Description of Item	Style	Color WH, BLK, GRN, BL, GRAY	Size Sm, M, L, XL, XXL	Quantity	Price Each $16.95	Total
Baseball	BB 1
Baseball	BB 2
Basketball	PG 1
Basketball	PG 5
Brainless	PG 9
Fishing	FS 1
Fishing	FS 2
Fishing	FS 3
Fishing	FS 4
Fishing	FS 5
Hockey	HK 2
Hockey	HK 5
Hockey	HK 6
In-Line Skating	PG 6
In-Line Skating	PG 7
Skateboarding	PG 3
Skateboarding	PG 11
Surfing	PG 8
Surfing	PG 15
Surfing	PG 20
Surfing	PG 21
Soccer	PG 22
Soccer	PG 23
Payment Method:    ___ Check Enclosed ___ Money Order ___Visa  ___ MasterCard Card# __________________________  Code _____ Exp Date _ _-_ _   Signature ____________________________________ Shipping Information:  Name: _______________________________    Address: ________________________________________ City, State, Zip: _______________________________________________ Phone: _____________________  E-Mail Address: __________________________ REFUND & RETURNS POLICY; All purchases subject to store credit only less any shipping charges.  NO CASH OR CREDIT CARD REFUNDS. All claims must be in within 10 days of purchase.  Credit will be issued upon receipt of return merchandise in good order and in original package.  Evidence that merchandise has been used prior to return will forfeit any credit. NOTE: International shipments travel at buyer's risk.  Any damages please put claim with your local carrier unless you have purchased separate insurance from us. 10% restocking charge for returns.					Subtotal
					FL residents add 6% sales tax
					S&H
					Total