Order Form

Ordering Instructions Back to Catalog Webmap

1. Print this Order Form.
2. Browse our Catalog to see items & prices 3. Submit your order by phone, fax or mail. You may email orders if your credit card is already on file. Always include a daytime phone number in case we have questions about your order.
RUSH Service: If you need your order sent via UPS 1-day AIR, UPS 2-day Air, or UPS 3-Day Select phone your order to expedite processing.
International Orders - For orders outside the USA, see our International Orders Page and request an Estimate of International Shipping before ordering.

Toll-Free Ordering &
            LA Consulting in USA
         1.866.866.1239

    Callers outside USA
              1.423.744.9090
    FAX 1.423.744.9116

ORDER FORM July 01 2008
Item Number	Description	PRICE	QTY	AMOUNT








__ I'm ordering a Cooler. If my 1st Choice above is not available, my 2nd Choice color is:		ORDER TOTAL		$
ONLY Tennessee residents add sales tax on Order Total.		Tenn. Sales Tax 7%		$
Every UPS order includes Handling Fee of $5.95 **		Handling Fee		$ 5.95
Ship Via:		Shipping Fee		$
Ship Via:		GRAND TOTAL		$

Handling Fee of $5.95 per UPS order is already filled in for you on the Order Form. If a Mail Order, change to $7.00 Handling Fee.
Find the shipping service you want, UPS Ground, UPS 3-Day Select, etc., and add it to your Order.
Your Grand Total will include: Items Ordered, Items Ordered, + Handling, + Shipping.

See Handling and Shipping Rates Chart - Next:

Handling Fees & Shipping Rates Chart                                  Rates as of JULY 01, 2008

Handling
Fee
Applies to all UPS orders.
$ 5.95

** Handling Fee on all Mail Orders: $7.00

UPS Ground
Orders $60 +
FREE !
UPS Ground
Orders Under $60
$ 8.25
UPS 3-Day Select
$15.75

2 Lbs. Rate *
$17.50
UPS 2-Day Air
$17.75

2 Lbs. Rate *
$22.00 UPS 1-Day Air
$37.75

2 Lbs. Rate *
$42.50

Alaska, Hawaii, Puerto Rico, use Mail:

Priority Mail
Ins. + Del Confirmation
1 Lb. Rate *
$10.60

Priority Mail
Ins. + Del Confirmation
2 Lbs. Rate *
$13.65
Express Mail
Ins. + Del Confirmation
up to 2 Lbs.
$23.50 Express Mail
Ins. + Del Confirmation
Over 2 Lbs.
$26.75

          * Weight Estimates: 1 LA Deluxe, or LA Standard, or Rolls 4-Pack, = 1 Lb. Rate.
              LA Deluxe + Rolls 4-Pack, or a LA Rolls 6-Pack, or LA Rolls 12 Pack = 2 LB Rates.

Shipping Rates are for USA .
Free UPS Ground Service on Orders over $60 (merchandise total).

Estimated Delivery Time 1- 2 days TN & adjacent states. 3-4 days Eastern, Central & Mountain states.
5-6 days West Coast States. Allow extra days for weekends or holidays.

Shipping via US Mail: See chart above for rates.

Note: Alaska, Hawaii, Puerto Rico: Shipped via US MAIL only.

RUSH Orders: If you need UPS 1- or 2-Day Air or 3-day Select, phone or FAX your order to expedite shipping.

Confirmation & UPS Tracking: Include your e-mail to receive confirmation & UPS Tracking Number.

International Orders: We ship worldwide. Request an Estimate of International Shipping Rates before ordering.

    LA 30-Day Returns/Refunds Policies:



Call to obtain a Return Authorization. (RA Number).

Only unopened LA Systems and supplies are returnable for a refund.

Returns are subject to 20% restocking fee.

Returns must be made within 30 days after purchase.

Ship/Handling Fees are not refundable.

Customer pays shipping to return items. COD returns will be refused

LA 30-Day Warranty

Lact-Aid items with a defect of material or workmanship will be replaced free, up to 30 days after purchase. Item to be replaced must be returned to Lact-Aid for quality control inspection. Warranty replacement will be sent via UPS Ground or first class mail, shipping paid by Lact-Aid. If expedited shipment is requested, customer will pay shipping.

        Complete Billing and Shipping information next:

Credit Card Billing Address & Payment Information:

Payment Method: Check one. __ Credit Card   __ I'll phone Credit Card __Credit Card is on file __Check/Money Order enclosed

Credit Card: __ VISA __ MASTERCARD   __ DISCOVER    __ AMERICAN EXPRESS
Verification code:_________Required.

Card No.: Expiration Date:

Signature: Phone Home

Name Phone Eve or Work

Address Phone - Cell

Address .

City:
State: Zip Code:

NOTE:   Address above should match your Credit Card Billing Address, If credit card address above is a PO Box or rural route, provide street address here for Credit Card Verification..


Email Include your e-mail to receive

Shipping Information: if different from Credit Card Address / Payment Information.

Ship to: A Street Address is required for UPS delivery Phone

Name .

Street .

City: State

Zip Code: State

Survey: Please check all that apply. This will help us improve our services.

I heard about Lact-Aid System from: My breastfeeding situation is:

O Article
O Lact. Consultant
O Midwife O Doctor
O Nurse
O Friend O Book
O WWW search
O Email List O Slow Wt. Gain
O Low milk supply
O Suck Problem O Premie
O Cleft Lip / Palate
O Breast Surgery O Working.
O Relactation
O Adopt
O Surrogacy

O Other
O Other

1.866.866.1239 Toll-Free Ordering and LA Info and Consulting - in USA.
1.423.744.9090 for Callers outside USA.
Lact-Aid International, Inc. PO Box 1066, Athens TN 37371-1066 USA
Send email to:    orders @ Lact-Aid.com
FAX    1.423.744.9116

Back to Top of Order Form