Tyler Martin Co.
P.O. Box 282 - 1361 Pony Express Hwy.
Marysville, KS 66508
Toll Free: 800-652-2937
Fax:  785-562-3210

Please include with your empty cartridge(s) to be exchanged.

Quantity Cartridge Number Price Each Total
       
       
       
       
    Shipping    $6.95   
    Total     

Please remanufacture and return to:

______________________________________

______________________________________

______________________________________

Phone:________________________________

Email address:__________________________


Payment Information:
Visa/Mastercard
Card Number:__________________________     OR        We can call your daytime phone number for CC#

Exp. Date_____________________________                   _________________________________

Name on Card:_____________________________

Paypal payments may be sent to:  janeb@tylermartin.com

Check or money orders should be made payable to Tyler Martin Co.

Prices do change from time to time.  Please call us at 800-652-2937 to verify pricing.  You may also email us at janeb@tylermartin.com or rprice@tylermartin.com