To print, click "Print" button on your browser toolbar.   

Name: __________________________________________________
Address: __________________________________________________
__________________________________________________
City/State: __________________________________________________
Country: __________________________________________________
Zip or Country Code: __________________________________________________
Telephone Number: __________________________________________________
Email Address: __________________________________________________
OAS Product Line OAS Golfer - $99.00 USD/pair         OAS Ultracloud - $99.00 USD/pair
OAS Ultimate - $99.00 USD/pair      OAS Walker - $99.00 USD/pair
OAS Executive - $99.00 USD/pair    OAS Fashionette - Price: $99.00 USD/pair

                  

                          (remember to add shipping - see below)
Order Details: I'll take _____________ pair(s) of   ________________________________________
(name product choice)
at   $___________ USD each.
Special Offer: indicate your 2 choices on form to be sent with casting kit
My Order Subtotal: $_____________________  (Order Subtotal)
Shipping Charges: _________ Add $10.00 USD, if you live in Continental USA
_________ Add $25.00 USD, if you live outside the USA
Resident of Indiana?
If yes, add 6%
$____________________   Indiana Sales Tax (IN residents only).
Order Total: $____________________   Total (with shipping and taxes, if applicable).
Payment Method: _______ Check here if you have enclosed a Check (US accounts only)  or US Funds Money Order.  Make checks/MO's payable to "OAS/MTL Inc."
Credit Card: Card Type:  _____  Master Card  _____  Visa   _____  Discover    (please check type)
Card Number: __________________________________________________
Expiration Date: _____________  Month  _____________  Year
Name on Card: __________________________________________________
Cardholder Signature


__________________________________________________ (required)

Comments:
_______________________________________________________________________

_______________________________________________________________________

Mail Order To: OAS, Inc., 8653 Bash St.  Indianapolis, IN, USA 46256
Thank you for your order!