Print this page out and fill it in by circling the choices you want and then mail your order form along with your payment to 
Chandas Corporation 4800 Curtis Dearborn, MI 48126
(If  you want to Order more than one please print out the number of them you would like)

Your Information

Name:__________________________________________________________________

Address:________________________________________________________________

Phone Number:___________________________________________________________

E - mail address:__________________________________________________________

Shipping Information
(Where do you want us to ship the product? If same as above just leave blank)

Name:__________________________________________________________________

Address:________________________________________________________________

Accessories Order Form

What Accessories product would you like to purchase:__________________________________
___________________________________________________________________________

Family Last Name you want on the Product ______________________________
               ( If Required )

Quantity of the product you would like to purchase_____________________________________