Our Guarantee:

Each of our products comes with a full money-back guarantee. If you are dissatisfied with any product, just mail us the U.P.C. symbol, receipt, and documentation of your unsatisfactory results and we will promptly issue you a refund.

Print This Form and Mail or Fax to:

InterMark America Corporation
6947 Coal Creek Parkway SE #142
Newcastle, WA 98059

Fax# 425-564-0867

Note: If paying by check, you must allow time for the check to clear first. Using a money order allows you to receive your order much faster!

SHIP TO:

Name:_______________________________________________________
Address:_____________________________________________________
City:________________________________________________________
State:______________________ Zip:______________________________

Credit Card Billing Address (only if using a credit card)

Name:_______________________________________________________
Address:_____________________________________________________
City:________________________________________________________
State:______________________ Zip:______________________________

Credit Card Information:

Credit Card Number: ______________________________ Exp: ___________________
Name On Card: _________________________________________________________

Products You Would Like To Order:

Product Name:___________________________ Qty:_______ Price:_____ Total:_______
Product Name:___________________________ Qty:_______ Price:_____ Total:_______
Product Name:___________________________ Qty:_______ Price:_____ Total:_______
Product Name:___________________________ Qty:_______ Price:_____ Total:_______
Product Name:___________________________ Qty:_______ Price:_____ Total:_______
Tax (8.6% - Pay this ONLY if you live in the state of Washington)...........Tax: _______
Shipping & Handling: ............................................................................:________
Order Total.........................................................................................:________

Shipping & Handing charges:
-Unless you request otherwise, our "default shipping" is U.S. Mail, First Class.
Typical shipping time (not guaranteed) is 3-5 days. $5.00
-2nd Day Air" -- Carrier's are USPS & UPS. $12.00
-Next Day Air" -- Carrier's are USPS & UPS. $20.00
-International Orders -- Allow 5 - 7 Business Days (not guaranteed). $35.00
Please refer to our shipping page for actual charges.