Billing and Shipping Information for Mail-In Orders

Print out this billing and shipping form, and mail it with your order and payment to:

T&P Incentives
ATTN: Joe Wientge
2929 South Brentwood Boulevard
St. Louis, Missouri 63144 USA

Phone: 314.962.5200, extension 135
Fax: 314.962.6934

Make checks payable to: T&P Incentives Inc. 
Maximum payment by check is $100; orders more than $100 must pay by credit card.

Complete this section, if you are paying by credit card:

___ ___
___ Master Card ___ Visa

Card Number:__________________________________________________________________

Expiration Date:_________________________________________________________________

Name As it Appears on Card:_______________________________________________________

Ship to:

Name:_________________________________________________________________________

Street Address:__________________________________________________________________

                        __________________________________________________________________

City:___________________________________________________________________________

State:_____________________________________________    ZIP:_______________________

Daytime Phone Number:(_____)_____________________________________________________

If you have any questions, contact:
T&P Incentives Inc.
Joe Wientge
2929 South Brentwood Boulevard
St. Louis, Missouri 63144 USA

Phone: 314.962.5200, extension 135
Fax: 314.962.6934