Texting Thumb Bands

Join the text free driving community at 1980 Dominion Way, Ste 101
www.facebook.com/textfreedriving Colorado Springs, CO 80918
www.textingthumbbands.com 719-360-1024 Bus
www.textingwhiledrivingbands.com 719-630-1101 Fax
info@textingthumbbands.com
Invoice: Large/Bulk Order
Bill To: Ship To:

Name ___________________________________ Name ___________________________________

Organization ______________________________
Address _________________________________
City _____________________________________
State ___________ Zip ______________
Phone # _________________________________
Organization ______________________________
Address _________________________________
City _____________________________________
State ___________ Zip ______________
Phone # _________________________________

Cost Per Band:

50 - 74: $1.25 each 75 - 149: $1.10 each 150 - 199: $1.00 each
200 - 299: $.80 each 300 - 499: $.70 each 500 - 749: $.55 each
750 - 999: $.45 each 1000 - 2000: $.40 each 2000 - 3999: $.35 each
4000 - 5999: $.30 each 6000 - 8000: $.20 each 8000+: $.16 each

Quantity Item Description Unit Price Total

Blue TXTNG KILLS thumb bands

Green TXTNG KILLS thumb bands

Pink TXTNG KILLS thumb bands

Purple TXTNG KILLS thumb bands

Red TXTNG KILLS thumb bands

Black TXTNG KILLS thumb bands

Bumper Sticker DNT TXT N DRIVE $1.50

Subtotal $
Shipping Cost:
Shipping $
50 Bands: $6.00 51 - 200: $8.00
201 - 2000: $17.50 2001 - 3000: $22.50 Misc. $

3001 - 5000: $32.00 5001 - 6000: $35.00 Balance Due $

Payment By: Check Credit Card (Please fill out attached form and return with order form)
Please make check payable to: First Choice
Mail payment to:
Name Date
First Choice
1980 Dominion Way, Ste 101
Signature Colorado Springs, CO 80918
 1980 Dominion Way, Ste 101, Colorado Springs, CO 80918. 719-360-1024

Order Information

Name on the Order: _________________________________________________

Organization/Business Name: _________________________________________

Contact Phone #: ___________________________________________________

Contact Email: _____________________________________________________

Cardholder Information

Name on the Card: _____________________________________________________

Billing Address: ________________________________________________________

□ Mastercard □ Visa

Credit Card Number□□□□-□□□□-□□□□-□□□□

Expiration date: □□ / □□ Card Security Code*□□□
* The security code is the 3 digit number printed on the back of your credit card

Order Total Including Shipping: $______________

I hereby authorize ThumbBands to charge my credit card for the amount

referenced above for the purchase and shipment of TXTNG KILLS materials

Signature Date