medipouch an epipen twinject or anapen holder and allergy medication carrier case pouch designed to be worn comfortably around the waist

Please provide the following ordering information:
When completed, print two copies of this form and send one copy with a money order
payable in US Dollars to P.A.G.

Send Payment and Completed Order Form to:
P.A.G.
1904 Nobles Mill Road
Darlington, MD 21034

Shipping Policy
We do our best to ship the next business day
following receipt of your order.
We offer flat rate shipping and handling charges.
The more you order, the more you save!

U.S. Orders
Shipped via U.S. Postal Service 1st-class mail.
Delivery to most areas in 3-5 business days.
As an added convenience to our customers, we offer
shipping via U.S. Postal Service Priority Mail.
Delivery to most areas in 2-3 business days.

Canadian and International Orders
All payments are to be in US Dollars
Shipped via U.S. Postal Service First Class Mail International
Delivery to most areas in 6-12 business days.
Or via U.S. Postal Service Priority Mail International
Delivery to most areas in 5-12 business days.
Shipping and handling charges do not include duties,
tariffs, or other fees incurred as a result of importing into
customer's respective country.

Return Policy
30 Day money-back guarantee on all orders less
shipping costs.

Product Description	Price	Total Quantity	Subtotal
Compact Pouch 23"-31" Waist Size Solid Blk	$12.95		$
Compact Pouch 30"-42" Waist Size Solid Blk	$12.95		$
Standard Pouch 23"-31" Waist Size Solid Blk	$14.95		$
Standard Pouch 30"-42" Waist Size Solid Blk	$14.95		$
Optional Tubes 5 3/4" Holds 1 EpiPen 6 3/16" Holds 1 Twinject	$4.00		$
Maryland Residents only add 6% sales tax. Shipping and Handling Charges: US Residents: USD $5.00 USPS 1st class mail USD $8.00 USPS Priority mail Outside US: USD $6.00 First Class Mail International USD $13.00 Priority Mail International Questions: contact P.A.G. via email at pag@medipouch.com		Total	$
		Tax	$
		Shipping	$
		Order Total	$

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CONTACT US:
EMAIL: PAG@MEDIPOUCH.COM
PHONE: 410-335-2874
Address: 1904 Nobles Mill Road
Darlington, MD 21034

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Home Phone
E-mail

Created by Webmaster@medipouch.com Copyright © 1999 [P.A.G.]. All rights reserved. Revised: September 13, 2008

Created by Webmaster@medipouch.com
Copyright © 1999 [P.A.G.]. All rights reserved.
Revised: September 13, 2008