http://www.monicoproducts.com/AMEXofflineorderform.htm

JS&M Sales & Marketing, INC.
POINT OF SALE

RETAIL SECURITY PRODUCTS

Print and fax your order

Fax 858-274-2579 or Call 1-800-237-0634

Print and fax order to 858-274-2579

IMPORTANT ALL UV LIGHTS ARE FOR WHOLESALE QUANTITY OF 50 UNITS OR MORE	over 50 unit price	under 50 unit price	fax To	858-274-2579
JSM #118 Super Snooper UV Black Light	$7.95	$29.95	__________	$_____________
JSM #868 The Rooky Pager Black Light	$3.95	$29.95	__________	$_____________
JSM #Mini Me UV Black Light Mini Counterfeit Credit Card Detector	$6.95	$29.95	__________	$_____________
JSM #Bionic Eye Magnifier	$6.95	$14.95	__________	$_____________
International orders call for shipping rates call 1-1-800-237-0634	$12.95	_________	__________	$______________
Shipping on USA orders under $10	$4.95	_________	__________	$____________
International orders under $10	$8.95	_________	__________	$_____________

1) Call 1-800-982-6487 or 1-800-237-0634 to Place Order
2) Fax the form back to FAX# 858-274-2579 PO#________________DATE_______________

MY NAME_________________________________ CO. NAME____________________________________

CREDIT CARD #__________________________________________EXP DATE______/_______/________

MY STREET ADDRESS___________________________________________________________________

CITY____________________ STATE_________ ZIP____________ e-mail_____________ ____________

PHONE#HOME (____)___________OFF#(____)____________ FAX(_____)_________________________

I AUTHORIZE A CHARGE FOR $_________ ON MY CARD (Card Holders Signature)_________________________

You are safe ordering from JS&M, because you get a 100% - no questions asked 30 day money back guarantee on all our products.

JS&M Sales & Marketing Inc.

1-800-982-6487

fax 858-274-2579