Order Form

If you cannot use this order form for any reason, contact customerservice@dromar.com and you will receive easy instructions via e-mail.

In order to place an order please fill out the following information and the press the "SUBMIT PAYMENT" button. This order will be processed immediately and shipped within 2-4 weeks.

Inquiry Information:
Choose One:
Item No:
Purchase Order No:
Ship Date:

If you are ordering more than one item, please use this form more than once and indicate below (number of registrations). Upon receipt we will process those orders as one order.

Please use this area for any additional comments or questions:

  • If you wish to pay by check we will call you and inform you of the total price including shipping charges. At that time, please mail your check to us. Please write "check" in comments
  • VISA and MasterCard are the only cards accepted
  • Please type your name as shown on the card
  • Please give the billing address of the credit card
  • If you'd rather use phone or fax to order, contact customerservice@dromar.com to receive information

Registration Information:
First Name: Required
Last Name: Required
E-mail: Required

Card Member Information:
FirstName: Required
Last Name: Required

Credit Card Billing Address: Required
State: Zip:

Card Information:
Credit card
Card Number: Required
Expiration: Required
Number of


By pressing the Submit Payment button below, Cardmember
acknowledges receipt of goods and/or services in the amount
of TOTAL shown hereon and agrees to perform the obligations
set forth in the Cardmember's agreement with the Issuer.
Cardmember also acknowledges there is a
NO REFUNDS policy for imprinted items.