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You Don't Have to Order Online
You can pay with a check, money order or use your credit card
Just print this page, fill it out and follow the instructions.
(If it's easier for you, you can just write all of the information on a plain piece of paper instead)
Your Survival Kit_________________________________________(Quant)___(Price)________(Total)_______
Your Survival Kit_________________________________________(Quant)___(Price)________(Total)_______
Your Survival Kit_________________________________________(Quant)___(Price)________(Total)_______
Order Total_________
Shipping Information
If this is a gift for someone at a different location be sure to give us their name and address.
First Name_________________________ Last Name________________________
Street Address___________________________________________ Apt.________
City__________________________________ State________ Zipcode__________
Check or Money Order Enclosed_____ - Amount_____________
Or, if you are paying with a credit card:
Credit Card Number_______________________________________ Type________
Expiration Date- Month_______ Year________ - CVV______
Three digit security code (4 digits on AmEx)
Billing Information
First Name_________________________ Last Name________________________
Street Address___________________________________________ Apt.________
City__________________________________ State________ Zipcode__________
Your Phone Number- (_______)_______-___________(in case we have any important questions)
Enclose this page (or your letter) with your payment and mail it to
Lifeline Safety and Security Products 121 Elizabeth St. East Stroudsburg, PA 18301
If you pay with a credit card your Survival Kit will be shipped the same day we receive your order.
(you should receive your kit about 4-7 days after)
If you pay with a check or money order, your Survival Kit will be shipped the same day that the payment clears.
(you should receive your kit about 7-10 days after your payment arrives)
If you have any questions about our Disaster Survival Kits, or ordering them You can contact us by email at
questions@lifelineproductsny.com
Or by Phone at (570) 218-2304
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