To FAX ORDER: Please print this order form, fill out information and fax to 212.557.5063.
To ORDER ONLINE: Click on Shopping Cart Buttons.
For any questions call 212.983.6383.

MONDO-MER, Inc. Suite 114 • 333 East 43rd Street, New York, NY 10017
Phone 212.983.6383 • Fax 212.557.5063

Date: _________________ Phone: _____________________________

Name: ________________________________________________________________________

Address:__________________________________Town_____________State_______Zip ______

Payment by check or credit card:

Money Order or Check #_____________________ Made out to Mondo-Mer, Inc.

Credit Card Info-Circle One-Visa/Mastercard/Amex: _________________________ Ex _____/_____

Shipping and Handling Charges

Add $9.50 for UPS Ground (3-5 business days)
Add $21.50 for UPS 2nd Day (2 business days)

Thank You For Your Purchase
We will contact you to confirm your order.