BeCentsAble Couponizer Order Form

Thank you for ordering The Couponizer!

Please note that we only accept payments via PayPal.

Please allow up to 10 days for processing/shipping.

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* E-mail Address

Couponizers (c) are $19.95 ea and include the following:

The Couponizer™ - wire bound booklet

Your Guide to Smart Savings

CoupStacker - presorting mat

Shopping List

CoupTracker - record monthly savings

Scissors

Carrying Bag

* Indicate the mumber of Couponizers you would like to order.

Couponizer (c) $19.95 ea

* Priority Mail Shipping

1 item

2 items

3-4 items

5+ items (invoiced separately)

* Please indicate the appropriate sales tax based on your state of residence.

Missouri Sales Tax 7.85%

Elsewhere: No Tax

* Indicates Response Required