Mail or fax form to:

Fax (561) 333-7491 		Baku Baits
Kelly Innovations, Inc. Recreational Products Division
11924 Forest Hill Blvd.
Suite 22 / # 306
Wellington, Florida 33414
Thank You!

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QTY Product #
Description (Name, Color, Buoyancy, etc)
Unit Price
Price
         
         
         
         
         
         
         
         
         
         
         
         
         
         
subtotal  
  
Florida residents please add 6% sales tax  
 
  Shipping charges for 1 to 7 bags=$5  
  
Shipping charges for 8 to 14 bags=$8  
  
  Shipping charges for 15 to 24 bags=$13  
  
Shipping charges for 25 or more bags=$16  
 
TOTAL $ 
  
Circle Payment Method(s) : Check / Money Order / Credit Card / Baku Bucks
 Shipping Information Billing Information (IF DIFFERENT)
Name: Name:
Address: Address:
City,State Zip: City,State Zip:
Phone: Phone:
email: email:
For Credit Card orders only -- please fill out information below:
Exp. Date
Type of Card
Credit Card #