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Internet Order Form

   Quantity

Price
(US Funds)


MINI Repair Kit
(2 & 4 Ply Tires)
- short tool & 10 (7 inch) repairs
$11.95
--- Refill kit 10 (7 inch) repairs $9.95
--- Refill kit 20 (7 inch) repairs $14.95

STANDARD Repair Kit
(6 Ply & Larger Tires)
- long tool & 10 (14 inch) repairs
$15.95
--- Refill kit 10 (14 inch) repairs $11.95

Best Buy!

DELUXE Repair Kit (6 Ply & Larger Tires)
- long tool & 20 (14 inch) repairs
$21.95
--- Refill kit 20 (14 inch) repairs $17.95
 
U.S Orders: Add $2 per kit shipping & handling (maximum $5 per order)
Canada & International: Add $5 per kit shipping & handling (maximum $10 per order)
 

Sales tax is only collected from Iowa residents

 

Billing and Shipping Information:

 
Name
Address
City State/Prov
Zip/Postal
Phone (use this format: 515-555-5555)
 Email
  

Nealey Company, 14409 Buena Vista Drive, Urbandale, Iowa 50323 | 515-987-0000 | 800-289-9781 | nealey@tirerepairkit.com