Jump In Products for autistics and others needing physical therapy

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Name  
Institution                                 
Billing Address  
City State Zip
Shipping Address
City State Zip  
Phone                           FAX  
Credit Card #  Expires M / Y                 V Code
                                                                                                                                                         
         
         
         
         
         
         
         
 

Merchandise Total

      
 

Tax for Michigan Orders 6%

      
 

Shipping & Handling (see table below )

      
  Grand Total      
Make checks payable to JUMP-IN™ and mail to:
 10400 Hamburg Rd-PO Box 205; Hamburg, MI  48139-0205

Call us at (810) 231-9042 or FAX us at (810) 231-9063
Click Here to Email Us
Merchandise Amount Shipping Fee Merchandise Amount Shipping Fee
Up to $20 $6.00 $60.01 – $100 $12.00
$20.01 – $40 $8.00 $100.01 – $200 $15.00
$40.01 – $60 $10.00 OVER $200 

8%