4 ways to order:
Email, Phone, Fax, & Mail
For security, please choose phone or fax.
Order form for different shipping & billing addresses
EMAIL

Complete and Send the form below.

PHONE

1-800-966-1504

FAX

Fill in the form below, print this page and FAX it to 847-473-5431

MAIL

Fill in the form below, print this page and mail with your payment to:
Hosiery Mate
1731 Lakeside Drive
Waukegan, IL 60085

Fill in quantities, select your state, and click TOTAL to calculate your order!
***Your email address is required so that we may contact you regarding your order.*** We do not ship to PO Boxes.
Hosiery Mate bottle Lingerie Mate Activewear Mate bottle Lace Hosiery Bag Travel Mate
16 oz
Hosiery
Mate
16 oz
Lingerie Mate
16 oz Activewear Mate
Lace
Hosiery Bag
Travel Mate:
Three
2 oz Mates
PRICE 6.00 6.25 6.50 6.75 6.00
QUANTITY

TOTAL $

Hosiery Mate Bonus Bag 'Mate' Sampler Gift Bag 16 oz Combo Bag Hosiery Mate Gift Bag Ultimate Hosiery Mate Gift Bag Hosiery Mate Love Glove
Hosiery Mate
Bonus Bag
"Mate"
Sampler
Gift Bag
16 oz Combo
Gift Bag
Hosiery Mate
Gift Bag
Ultimate
Hosiery Mate
Gift Bag
Hosiery Mate
Love Glove
PRICE 21.00 18.50 21.00 15.50 25.00 7.50 w/free S&H
QUANTITY

TOTAL $

SHIP TO
NAME


ADDRESS


APT/FLOOR/SUITE NUMBER
YES
NO

CITY


STATE



ZIP CODE


DAY PHONE


FAX


EMAIL *required*



Would you like to be notified by
email of specials?
YES NO

Credit Cards Accepted

CARD NUMBER


EXP.DATE


BILL TO (If Different)
NAME



ADDRESS



APT/FLOOR/SUITE NUMBER



CITY



STATE



ZIP CODE



DAY PHONE



MESSAGE


*Shipping Charges*
1 bottle $4.50
2 to 6 bottles $6.50
7 to 12 bottles $9.99
Over 13 bottles and All Gift Bags Contact us for S&H.
Love Gloves & Wash Bags Free S&H
*Shipping charges apply to the continental US only. Alaska, Hawaii, and all other locations, please call for S&H charges.*



SUBTOTAL


8.0% Tax
(IL ONLY)

Shipping

TOTAL