Order
Form
Prices
Quantity (Pens):
2-Year Warranty:
Yes
A4 Notebooks:
A5 Notebooks:
A6 Notebooks:
Blue Ink Refills:
Black Ink Refills:
Charging Cradles:
Pen Caps:
USB Cables:
Total:
Contact / Billing
Information
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Address:
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Shipping Information
(if different than above)
First Name:
Last Name:
Address:
Unit/Suite:
City:
State:
Select State........
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone:
Payment Information
Cardholder:
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Type....
Visa
Mastercard
American
Express
Credit Card:
Expiry:
Verification:
(3 digits on Visa/Mastercard, 4 digits on
American Express)
By checking this option and typing your
name in the following box, you are authorizing
Solutions Into Motion to charge your credit
card for the total amount on this order
form plus shipping charges. If you have
chosen a Monthly Plan, you also authorize
Solutions Into Motion to charge your card
each month until service is cancelled.
Digital Signature
Order
Policies
Delivery
We aim to deliver all orders within 2-3
days if the goods are in stock. If the
goods you order are “Out of Stock”
we will send out the order to you as soon
as the product becomes available again.
Cancellations and Returns Policy
Order cancellations and/or return of goods
shall be dealt with on a case by case
basis by Solutions Into Motion Limited
in accordance with its internal returns
policy. Please contact Solutions Into
Motion Limited for more detail.
Order Fulfillment Policy
We want you to be happy with your purchase.
Please check your order and ensure that
it is complete. If your order is deficient
and/or defective please contact us immediately.
We will send all missing components to
you, or in the case of a defective product,
exchange or refund where appropriate.
Shipping
Shipping charges will be added onto the
final value. Shipping charges vary by
location.
Contact Details
Solutions Into Motion Limited (Exclusive
Canadian Distributor and Dealer for PaperIQ)
601 Tradewind Drive Unit 4, Ancaster,
Ontario , L9G4V5, (866) 868-7225.
Print
a copy of this order form for your records,
BEFORE pressing the button below to Place
Order.