ÿþ<HTML> <HEAD><TITLE>MEMCO Merrimack Engraving & Marking</TITLE> </HEAD> <BODY BGCOLOR="#f0c498"> <FORM METHOD="POST" ACTION="mailto: patentorder@memco.net"> <CENTER><H1>Bottle Opener, Capcatcher & Backsplash<BR>Order Form</H1></CENTER> <P> Once you have filled out the order form below, please print it out and fax, mail or phone in the order form to us for processing. The fax, phone number and mailing address is located at the bottom of this order form. <P> Please enter any special notes in the notes section below. <P> <UL> <I><H2>Bottle Openers:</H2></I> </UL> <UL> <TABLE BORDER=0> <TR> <TH></TH> <TH ALIGN=CENTER><A HREF="btl3.jpg">Classic</A><BR>$17.00 ea (black)<BR>$18.00 ea (stainless)<BR>Qty</TH> <TH ALIGN=CENTER>Bottle<BR>Opener<BR>Color</TH> <TH ALIGN=CENTER><A HREF="typestyles.pdf">Lettering Style<BR>(Typestyle)</A></TH> <TH ALIGN=CENTER>Text to be<BR>Engraved</TH> <TH ALIGN=CENTER>Total</TH> </TR> <TR> <TD>Item 1</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> <TR> <TD>Item 2</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> <TR> <TD>Item 3</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> <TR> <TD>Item 4</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> </TABLE> </UL> <P> <UL><UL> <STRONG><ADDRESS>Greek Fraternities may enter their information in the text to be engraved box such as DELTA SIGMA EPSILON and we will convert to the Greek Alphabet. <BR>If your Bottle Opener will have a logo or other custom design, please enter the information in the NOTES SECTION below.<BR> You may email us your artwork in EPS, TIF or High Resolution JPG: <A HREF="mailto:info@memco.net">bottleopenerorders@memco.net</A>. We will review the artwork to verify it will reproduce. Please note that we can not engrave copyrighted artwork without the owner's consent. </ADDRESS></STRONG> </UL></UL> <UL> <TABLE BORDER=0> <TR> <TH ALIGN=LEFT><H2><I>Capcatcher:</I></H2></TH> <TH ALIGN=LEFT></TH> <TH ALIGN=CENTER>Qty</TH> <TH ALIGN=CENTER>Price</TH> <TH ALIGN=CENTER>Total</TH> </TR> <TR> <TD></TD> <TD></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD>$7.50 ea</TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> </TR> </TABLE> </UL> <P> <UL> <H2><I>Backsplashes:</I></H2> </UL> <UL> <TABLE BORDER=0> <TR> <TH ALIGN=LEFT></TH> <TH ALIGN=CENTER><A HREF="splsh1a.jpg">Black</A><BR>$22.00 ea<BR>Qty</TH> <TH ALIGN=CENTER><A HREF="splsh4a.jpg">Red</A><BR>$22.00 ea<BR>Qty</TH> <TH ALIGN=CENTER><A HREF="typestyles.pdf">Lettering Style<BR>(Typestyle)</A></TH> <TH ALIGN=CENTER>Text to be<BR>Engraved</TH> <TH ALIGN=CENTER><A HREF="splash.pdf">Backsplash<BR>Layout</A></TH> <TH ALIGN=CENTER>Total</TH> </TR> <TR> <TD>Item 1</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> <TR> <TD>Item 2</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> <TR> <TD>Item 3</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> <TR> <TD>Item 4</TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="8"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="35"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD><INPUT TYPE="TEXT" NAME="" SIZE="9"></TD> </TR> </TABLE> </UL> <P> <UL><UL> <STRONG><ADDRESS>Greek Fraternities may enter their information in the text to be engraved box such as DELTA SIGMA EPSILON and we will convert to the Greek Alphabet. <BR>If your Backsplash will have a logo or other custom design, please enter the information in the NOTES SECTION below.<BR> You may email us your artwork in EPS, TIF or High Resolution JPG: <A HREF="mailto:info@memco.net">bottleopenerorders@memco.net</A>. We will review the artwork to verify it will reproduce. Please note that we can not engrave copyrighted artwork without the owner's consent. </ADDRESS></STRONG> </UL></UL> <P> <I><H2>Package Deals:</H2></I> <UL><UL> <U><B>Deal #1:</B></U> Classic Bottle Opener and capcatcher: <B>$21.00 (black); $22.00 (stainless)</B> <BR> <U><B>Deal #2:</B></U> Classic Bottle Opener, Capcatcher and Backsplash: <B>$45.00</B> </UL></UL> <UL> <TABLE BORDER=0> <TR> <TH ALIGN=CENTER>Deal #<BR>(if applicable)</TH> <TH ALIGN=CENTER>Qty</TH> <TH ALIGN=CENTER><A HREF="typestyles.pdf">Lettering Style<BR>(Typestyle)</A></TH> <TH ALIGN=CENTER>Text to be<BR>Engraved on<BR>Bottle Opener</TH> <TH ALIGN=CENTER>Bottle<BR>Opener<BR>Color</TH> <TH ALIGN=CENTER>Text to be Engraved<BR>on Backsplash</TH> <TH ALIGN=CENTER>Backsplash<BR>Color</TH> <TH ALIGN=CENTER><A HREF="splash.pdf">Backsplash<BR>Layout</A></TH> <TH ALIGN=CENTER>Total</TH> </TR> <TR> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="15"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="25"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> </TR> <TR> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="15"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="25"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> </TR> <TR> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="15"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="25"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> </TR> <TR> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="10"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="15"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="25"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="1"></TD> <TD ALIGN=CENTER><INPUT TYPE="TEXT" NAME="" SIZE="5"></TD> </TR> </TABLE> </UL> <P> <UL><UL> <STRONG><ADDRESS>Greek Fraternities may enter their information in the text to be engraved box such as DELTA SIGMA EPSILON and we will convert to the Greek Alphabet. <BR>If your Bottle Opener will have a logo or other custom design, please enter the information in the NOTES SECTION below.<BR> You may email us your artwork in EPS, TIF or High Resolution JPG: <A HREF="mailto:info@memco.net">bottleopenerorders@memco.net</A>. We will review the artwork to verify it will reproduce. Please note that we can not engrave copyrighted artwork without the owner's consent. </ADDRESS></STRONG> </UL></UL> <P> <UL> <H2><I>Massachusetts Sales Tax:</I></H2> </UL> <UL><UL> All orders shipped to a Massachusetts address will have a 6.25% sales tax added to the merchandise total. There is no tax on shipping. </UL></UL> <P> <UL> <H2><I>Shipping:</I></H2> </UL> <UL><UL> We ship via UPS only, so we need a valid STREET ADDRESS as well as any apartment or suite number.<BR>We CAN NOT SHIP to a post office box. </UL></UL> <UL><UL><UL> <TABLE BORDER> <TR> <TH>Total Order Value<BR>(excluding Massachusetts sales tax)</TH> <TH>Shipping Charges</TH> </TR> <TR> <TD>$9.75 - $16.75</TD> <TD>$12.00</TD> </TR> <TR> <TD>$16.51 - $30.00</TD> <TD>$14.00</TD> </TR> <TR> <TD>$30.01 - $75.00</TD> <TD>$16.00</TD> </TR> <TR> <TD>$75.01 - $100.00</TD> <TD>$17.00</TD> </TR> </TABLE> </UL></UL></UL> <P> <UL> <I><H2>Notes:</H2></I> </UL> <UL> <TEXTAREA NAME="" ROWS="25" COLS="70"></TEXTAREA><BR> <P> <TABLE BORDER=0> <TR> <TH><A HREF="credit.htm">To order by credit card, click here</A>.</TH> <TH><IMG SRC="visa2.gif"> <IMG SRC="mc2.gif"></TH> </TR> </TABLE> </UL> <P> <ADDRESS>updated 11/16/12</ADDRESS> <HR> <P> <A HREF="opener.htm">Bottle Opener, Capcatcher & Backsplashes Main Page</A> <A HREF="index.html"><P><H3>Return to Home Page</H3></A> <P> <IMG SRC="mailbox.gif"> <A HREF="mailto:bottleopenerorders@memco.net">Send us email at bottleopenerorders@memco.net</A> <P> <ADDRESS>MEMCO Merrimack Engraving & Marking Co<BR> Methuen, MA<BR> Phone: (978) 683-5335<BR> Fax: (978) 683-4808</ADDRESS> </BODY> </HTML>