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

UPS Flat Rate $15.00.

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