ORDER FORM FOR MAINE STATE RESIDENTS

To place your order, please fill out the form below and you will receive confirmation via email between 8:30AM - 5PM EST Monday-Friday. Your order will not be processed until it is confirmed. Any questions can be emailed directly to JAbbott@Proknee.com

I am placing an order

I have a question

Name *

First Name

Last Name

Phone Number *

(###)

###

####

Shipping Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is Shipping Address Same as Billing Address? *

Yes

No

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tax Exempt *

Yes

No

Face Shield Model *

Please note: due to lack of demand, we stopped mass production on shields, however they can still be produced in small batches when quantities of 6 or more are purchased. We appreciate your understanding. To purchase multiple models of different quantities, please note in the field below

Full Protection- Shield Only $13

Full Protection-Shield With Wick Guard $16

Full Protection- Wick Guard Only $3

Max Protection- Shield Only $25.75

Max Protection-Shield With Wick Guard $30.75

Max Protection- Wick Guard Only $5

Max Protection- Depth Extender Kit $6.50

How would you like to receive order? *

Ship UPS Ground

Schedule Pick Up at 137 Devine Rd. Whitefield, ME 04353

How would you like to pay? *

Cash (For in person pick-up only)

Credit Card (We will send Paypal invoice; no Paypal account needed)