The
Supervisor's Toolbox
Fax/Mail Order Form
Please print out this form, complete it, then fax or mail it to:
OD Works, LLC - 9112 Allman Road - Lenexa, KS 66219 - USA -- Fax us at : 1-484-208-3794 USA
Company
Name:
Your
Name:
Address:
Job
Title:
City,
State, Zip:
Email
Address:
Phone:
Fax:
- Also complete this section if you are ordering by credit card -
Credit
Card Type:
(Circle
One)
Visa - MC - Amex
- Discover - Diners
Credit
Card Number:
Cardholder
Name:
Expiration
Date:
Signature:
Today's
Date:
- To order by check or money order -
Send your payment (US$) along with this order form
NOTE: To enroll multiple users please attach a list of the individuals
who will be using the system showing their name, email address, and the
desired username and password for each individual. You will receive a
confirmation by email after the users are entered into the system.
Got A Question?
If you are considering a special item or service or have additional questions please contact us at:
