Order Form

PHONE / FAX / MAIL ORDERING

  • Phone Orders
    Call 1-800-677-3256 or 1-440-338-3056 (Credit Card orders only)
     

  • Fax Orders
    Fax 1-440-338-3076
    Print this page and fax to the number listed above (Credit Card Orders and Purchase Orders only. If using a Purchase Order, include copy of purchase order)
     

  • Mail Orders

  • Print this page and mail to this address:
    Edward Leigh Enterprises, Inc.
    P O Box 18819
    Cleveland, OH 44118-0819
    Please note: This can be for Credit Card Orders, Purchase Orders, Checks or Money Orders. Please make all checks and money orders payable to “Edward Leigh Enterprises, Inc.” If using a purchase order, include copy of purchase order.

Fill in Type and Quantity of Smiles
 Reference the letter code next to the corresponding smile above
O MM MD R S G

Use the handy calculator!

Total # of Smiles
Cost Per Smile
Total
1 - 9: $1.97 each
10 - 99: $1.77 each
100 - 299: $1.57 each
300 +: Call for Quote
$
Shipping
(Ground UPS:
based on number of smiles)
1-9
$4.97
10-99
$6.97
100-299
$8.97
300 +
Call
 
Ohio Residents add your county sales tax
$
Shipping (chart at left)
$
Grand Total
$
(AK / HI / Foreign and Overnight / 2-day Service - Please call for quote)

Payment Type:
Payable to: "Edward Leigh Enterprises "

Check Money Order Purchase Order P.O. Number
Visa Mastercard Discover Discover AMEX Diner's Club
Name on Card:
Card Number:
Expiration Date:

Shipping Information:

Name:
Company:
Department:
Street Address:
Apt # / Suite # / Mail Stop:
City:
State:
Zip:
Telephone:
Fax:
Email: