Order Form

Click here for printable form
(for cash, check, and money orders)
This order form is intended for the use of Ultra Shade customers who wish to purchase Ultra Shade using cash, check, and money orders. Ultra Shade will ship once payment is received. Fill the form out below, and then send your money to:

MJ Technologies, LLC
P.O. Box 11075
Charleston, WV 25339

Canadian customers, please add 6.0% GST tax to your final order total. Thank you.

Name:

Address:

City: State: Zip:

Phone: Email:

Qty. Color
Simple Red
Dark Green
Dark Blue
Charcoal Black
Bright Yellow

 

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Click here for printable form

Canadian customers, please don't forget to add 6.0% GST tax on final order total.
Send cash, check, and money orders to:

MJ Technologies, LLC
P.O. Box 11075
Charleston, WV 25339