Order Form

Please submit your order by filling out the form below:

BILL TO:

First and Last Name*

Title

Company

Department

Email*

Address

City, State, Zip

Company Phone

Direct Phone

Fax

Best Time To Call

Product/Services Offered

Number Of Employees

SHIP TO:

same as above

First and Last Name

Title

Company

Address

City, State, Zip

ORDER:

QTY	DESCRIPTION	UNIT PRICE	TOTALS






		Merchandise Total
Colorado residents add appropriate Tax		Sales Tax
		Shipping
		TOTAL

All orders are F.O.B. shipping point. Shipping will be prepaid and added. UPS Ground is used unless requested otherwise. Prices are subject to change.

PAYMENT METHOD:

Please make checks payable to CareTek Resources, Inc.
TERMS: Net 30 to firms with approved credit.

Visa MasterCard
Check Purchase Order

Credit Card #

Expiration (ex. 06/13)

* REQUIRED FIELDS

Your email address and the information contained in your email will be used to
respond to you. Your email address is not collected for commercial marketing
purposes. CareTek Resources, Inc. does not sell or distribute your email address for commercial marketing purposes.

Return Goods Policy: CareTek Resources, Inc. will gladly exchange the product or issue credit, minus shipping cost, within 30 days of our invoice date. Returned merchandise must be in undamaged condition and include all shipping materials and documentation. Returned merchandise must be accompanied by a return authorization number. We reserve the right to refuse damaged or incomplete returns or pre-approved customized products.

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CareTek Resources, Inc.   Protect . Prepare . Prevent . Respond
P.O. BOX 630051    Highlands Ranch, CO 80163     TOLL FREE: 1.800.545.7587
mail@CareTek.com     ©2011 CareTek Resources, Inc.