KoolerAire Order Form

600 B Chestnut Ridge Road , Chestnut Ridge , New York 10977

Phone: 845-425-8800 Fax: 845-425-8868

Bill To: (Must match credit card address)	Ship To: (Leave blank if same as billing)
Name:	Name:
Address:	Address:
City:	City:
State:	State:
Zip:	Zip:
E-Mail:	Phone:

Qty.	Description	SKU	Price Each	Total
	KoolerAire 25 Base Unit	Kool-25	$39.95	$
	KoolerAire Foam Adapter	Kooladapter	$21.00	$
	KoolerAire Foam Cooler	KoolCooler	$21.00	$
	AC/DC Power Converter	AC/DC Conv	$29.99	$
	Portable Power Pack	RPAT-777	$59.95	$
	PVC Elbow	AIR-FLO	$1.50	$
	2 Way Adapter	RPPS-223	$9.99	$
	3 Way Adapter	RPPTSP-312	$24.99	$
	12 Volt Clip On Socket	RPPSAPS	$6.99	$
	12 Volt Clip On Fan	RP-1137	$22.99	$
	12 Volt Coffee Maker	RPSC-783	$29.99	$
	12 Volt Extension Cord	RP-203EC	$12.00	$
	12 Volt Heater / Fan	RPSL-581	$24.99	$
	12 Volt Heated Massage Cushion	RP-1241HM-BL	$19.99	$
	12 Volt Heated Blanket	RPHB-110DB	$39.99	$
	12 Volt Cordless Drill	RPAT-981	$54.99	$
	12 Volt Vacuum w/ Beater Bar	RPSC-813	$29.99	$
	12 Volt Wet / Dry Vacuum	MPSC-807	$34.99	$
	12 Volt LED Map Light	RPSJ-941	$19.99	$
	Indoor / Outdoor Thermometer	3172	$19.99	$
	Fleece Blanket and Pillow Set 50” X 60”	RPBP-002-DSP	$12.99	$
	Large Fleece Blanket 60” X 79”	RPFB-004A	$12.99	$
	45 Piece Tool Set	RPPS-10046	$25.99	$
	Rechargeable Map Light / Flashlight	RPAC-7411	$11.99	$
				$

Package Deal 1: $55.00 □ Package Deal 2: $85.00 □ Package Deal 3: $114.50 □ Package Deal 4: $144.50 □

Sub Total				$
New York Residence Add 6% Sales Tax				$
Shipping & Handling Charge (See Below)				$
TOTAL				$

Visa □ M/C □ AmEx □ Discover □

UPS charge based on sub total above.