Name ________________________________________________

Address _______________________________          Printer Manufacturer ______________________

City __________________________________           Printer Style _____________________________

State ___________ Zip ___________________         Printer Manufacturer _______________________

Phone ________________________________          Printer Style _____________________________

E-Mail Address _________________________________________
___________________________________________________________________________________
Additional Comments:

___________________________________________________________________________________
Inkjet Refills

Cartridge # _________________ # to be refilled: __________  Cost each to refill $__________ Total $____________
  
Cartridge # _________________ # to be refilled: __________ Cost each to refill $__________ Total $____________

Cartridge # _________________ # to be refilled: __________ Cost each to refill $__________ Total $____________

Cartridge # _________________ # to be refilled: __________ Cost each to refill $__________ Total $____________

Cartridge # _________________ # to be refilled: __________ Cost each to refill $__________ Total $____________ 
                           Total Number of Cartridges being 
                               mailed to Ink Link Zone for refill. __________

Laser Cartridge

Cartridge # _________________ # to order: __________ Cost of each $__________ Total $____________

Cartridge # _________________ # to order: __________ Cost of each $__________ Total $____________

Cartridge # _________________ # to order: __________ Cost of each $__________ Total $____________ 

                                                                                                                                                         Sub Total $____________

                                                                                                             Michigan Residence 6% Sales Tax $____________

                                                                                                                                            Shiping Charge $                  1.00
Check (Please circle payment type.)
VISA  MasterCard Discover                                                                                     TOTAL DUE $___________________


Account Number _________________________________________    Exp. date ______________ 

Code from back of card _____________________     Signature: _______________________________________

Billing address if different from above:                            Shipping address if different from above:

Name _______________________________            Name _______________________________

Address _____________________________            Address _____________________________

City _________________________________           City _________________________________

State ___________ Zip __________________          State ___________ Zip __________________ 


Inkjet cartridges will be processed and mailed back within two working days                                Laser cartridges will be processed and mailed to you within three working days
from the receipt of the order.  Orders received after 2:00 pm will be considered                          from the receipt of the order.  Orders received after 2:00 pm will be considered
received on the following day.                                                                                                     received on the following day.