Tip Me Harder. Com:  Mail Order Form

Note: All purchases to be made using credit cards should be made through the website- (this is the most secure way, for your protection) You do not have to sign up for Pay pal account to pay by credit card. Click on the "If you do not currently have a Paypal account click here" button, on page 2 of the checkout process, to pay without registering with Paypal.

To pay by personal check or money order, (Checks make payable to CGR Enterprises/TMH.Com)

Please print then fill out the following form and mail with your payment to:

TipMeHarder.Com

c/o CGR Enterprises

PO Box 692

Nutley, NJ 07110

 

First Name  ______________________     Last Name  __________________

Street Address ___________________________________________________________

City _______________________            State ____________      Zip Code  _________

Contact phone number   (_____)  _____ -   _______  Contact e-mail:  ___________@ ______

 

Quantity

Logo

Style

Size

       
       
       
       
       
       
       

Shipping Information:  (If different from above)

Name______________________________________

Address ___________________________________

City _______________________   State __________     Zip Code ____________

Tell us a little about yourself and receive a free gift!

Age:  ______     Sex:   M     F        Circle One:      Bartender      Bar Owner      Bar Manager          Other

*   If currently employed in the industry what is the name of your establishment? _______________________State? ______

How did you hear about us? (please circle one)

Convention/Tradeshow     Promotional Mailer       Search Engine       Word of mouth/ Friend

Signature   X___________________________      Date:  ____/_____/_____

Thank you we appreciate your business!       

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