Complete the form below to receive 1 “Tap Into the App” Counter card and 2 pads of 50 tear off sheets (or choose a refill) – all with your customized QR code included.

New orders/re-orders will be printed at a minimum of 300 orders or no later than February 29, 2020.

What would you like to order?*

Store Name*

Store Phone*

Store Address*

Store Address 1 Store Address 2 Store City Store State Store Zip

Enter your shipping information. This is the address your orders will be shipped to.

Your Name*

Contact Info in case we have any questions (Phone or email)*

Shipping Address*

Same as above

Address Line 1 Address Line 2 City State ZIP Code

Name

This field is for validation purposes and should be left unchanged.