Humidifiers Direct - Mail/Fax Order Form

Please complete the order form before printing.

(* indicates required information) Sales Tax will be added to Utah orders only (6.5%)

Order Information:
*Item Quantity	Product Description
		MiniAire Humidifier Personal Travel Humidifier
		MiniAire Replacement Filters $9.95 / 1 ionic antibacterial water filter, 8 wicks
OUT OF STOCK		SonicAire Humidifier Ultrasonic Cool Mist Air Humidifier and Air Purifier
		SuperAire Humidifier Programmable with Intelligent Humidity Control

Shipping Method:
Ground Shipping...$0.00 to Cont. US and Canada 2nd Day Air...to Cont. US and Canada (Contact Us) I need a shipping quote to the shipping address below.
Billing Information:
*Name
Company
*Street Address
Dept./ Suite
*City
*State
*Zip Code
*Country
*Day Phone	- -
Fax Number	- -
*E-mail Address
Shipping Information: Same as billing information above
*Name
Company
*Street Address
Dept./ Suite
*City
*State
*Zip Code
*Country
*Contact Phone	- -

Payment Information:
P.O. Number
*Payment Type Checks Payable to SteamCleanersPlus	Visa MasterCard Personal/Company Check -- Check # Money Order
Name on Card
Card Number	No spaces. Please verify card information
Expiration Date	(mm/yy)
Order Method:
Fax:	801.991.4838
Mail:	Humidifiers Direct A Division of Indoor Purification Systems 334 North Marshall Way, Suite C Layton, UT 84041
Thank you for shopping at Humidifiers Direct!
Back to Home