Order Form

CUSTOMER SERVICE
Orders Only Toll Free: 1-877-740-6660
Telephone: 715.547.6666
E-mail: simplelf@nnex.net



Please fill out all information requested. You may securely submit this form by pressing the submit button below for credit card orders, otherwise after completing all fields, you may print this form and mail it with check or money order to the address at the bottom of this page.

* - Indicates Required Information

Name: *
Company:
Mailing Address: *
City: *
State: *
Zip Code: *
Country:
Phone Number: *
E-mail: *



SHIP TO ANOTHER ADDRESS

Name: *
Company:
Mailing Address: *
City: *
State: *
Zip Code: *
Country:
Phone Number: *



ITEM NUMBER ITEM DESCRIPTION QUANTITY PRICE EACH TOTAL
Payment Method:   Amount Purchase
Credit Card Number:   WI Residents add 5.5%
Expiration Date: /   Shipping/Handling See below
Name On Card:   Total Amount


FOR GIFT CERTIFICATES PLEASE CALL US AT 715-547-6666 0R 843-671-6906

0R E-MAIL US AT simplelf@nnex.net with your order

Shipping & Handling

Our Standard Shipping is UPS Ground

Shipping Charges based on the item weight will be added to your Invoice

UPS Next Day and 2nd Day Air are available at an added Charge



Questions and Comments:


 





For More Information Write to or Call:
Simple Life
P.O. Box 361
Land O' Lakes, Wisconsin 54540
Toll Free: 877-740-6660
Telephone: 715-547-6666
Email us at: simplelf@nnex.net