iBert Inc.

Order Form
Items in bold are required.

Name: (First/Last)      
Shipping Address:
City:   
State:
Country:
Shipping Zipcode:
My Billing address is the same as my shipping address above: Yes
No
Email Address:
Phone:
US orders will receive a 20% shipping discount with multiple items.
Personal checks will be held for 10 business days.
International shipping will have a $30 additional charge.
Shipments to Canada and International do not include taxes or duties. Buyer will be responsible for paying taxes & duties.

I wish to make my purchase by Mail or Fax (this form will return a printable copy for mailing or fax)
I wish to purchase online using my Credit Card & secure Online Transaction

Enter quantity for each item: Item Cost Shipping Charges
    safe-T-seat
Includes everything needed to attach to your bike.
Seat, stinger, ring pin & clip, hex key. Sent FedEx ground. 		  $89.95 $15.00
    Extra Stinger Assembly - view
Switch the safe-T-seat between bikes quickly
Includes stinger, bracket, and 2 socket head cap screws 		  $15.95 $8.00
    Sippi Grip - view
Strap secures bottles & sippy cups to safe-T-seat
   $7.85 $5.00
    Ring Pin & Clip - view
replacement pin & clip
   $3.00 $1.50
    Hex Key - view
replacement hex key
   $2.50 $2.00
    Socket Head Cap Screws - view
2 replacement screws
   $2.50 $2.00

   Express Shipping (US only) 		$25.00

Notes:

Residents of Utah will be charged the Utah 6.85% Sales Tax
GrandKids iBert dad