BLINKY LIGHT ORDER FORM    Scroll down this page to place an order

To place an order, simply fill out all required information.  We will contact you by phone for confirmation prior to shipping.  Select blinkies by STOCK NUMBER and fill out the quantity of each one required.

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Stock #

Qty

Stock #

Qty

Stock #

Qty

Stock #

Qty

Stock #

Qty

Stock #

Qty

Stock #

Qty

Stock #

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Stock #

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Stock #

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21   22 23   24 25   26 27   28   29   30
31   32 33   34 35   36 37   38   39   40
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51   52 53   54 55   56 57   58   59   60
61   62 63  64 65   66 67   68   69   70
71   72 73   74 75   76 77   78   79   80
81   82 83   84 85   86 87   88   89   90
91   92 93   94 95   96 97   98   99   100
Lapel pin adaptor     Necklace adaptor     Batteries     Spare magnet    
Fill in the form below to order BLINKIES        Prices are in Canadian dollars and subject to applicable taxes

Name:     Email address: 

Country:    State or Province:    City:

If country selected is "Other" please indicate country here: 

note:  If you have any questions or special information please fill in the box at the bottom of this form

 We verify all orders by phone so indicate your daytime phone number with area code.

Phone: --  fields in RED are required to place an order note:  if an error is indicated after pressing "submit" use the "back" feature of your browser to return to this page.   Any other button pressed will clear the data from this form.

Special instructions

            

       

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