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The Refill Connection Deluxe Loose-leaf Refills Order Form

Welcome to The Refill Connection's Deluxe Loose-leaf Products order page. This page has been designed to be filled out, printed and then faxed to us toll-free with your complete order information. Follow the simple instructions below to order your replacement time management system today.

Please follow these instructions.
  1. If ordering loose-leaf products- follow this link to a hole-template. This template will help you choose the correct size inserts for your loose-leaf agenda. To help us confirm that you have ordered the right size, please also include a fax copy of a single page from your current agenda with the holes clearly visible- if possible.
  2. Fill out all ordering information.
  3. Select your refill products.
  4. Print out the completed form.
  5. Fax the form toll-free to our Boston location for immediate service.
  6. Fax toll-free to: 877 733-4551
  7. For more information phone toll-free 866 733-4559
  8. How to find the right size inserts



The following items are all required to complete your order.
Name: please enter your name as it appears on your credit card
Email Address: please enter your email address
Phone Number: please enter your phone number with area code
Billing Address: please enter your Billing Address
Ship-to Address: please enter your ship-to address if different from Billing Address.
Credit Card Number please enter your card number
Expiration Date: please enter your credit card's expiration date- MM/YY
Credit Card Type: Please select card type MC Visa Amex

Item Number Item Description Price Quantity Ivory Subtotal
PD646-18 6-ring Planning Diary- Weekly View 2018 $12.50 Each
PD646-17 6-ring Planning Diary- Weekly View 2017 $12.50 Each
RK646 Planning Diary Refill Kit- weekly view including "To Do" pages, Faint Ruled pages, Contact Profile, Graph paper, Undated Daily Appointment, Project/Goal, Daily Expense and address pages (304 pgs total) $15.50 per kit
PAD63 Writing Pads (3) $3.75
64AP6 Daily Appointment- 30 pgs Undated $5.75 per pack
64DR6 6-ring Daily Expense Record- 30 pgs $5.50 per pack
64EX6 Expenses- 30 pgs $6.25 per pack
64FR6 6-ring Faint Ruled pages- 30 pgs $6.25 per pack
64ME6 6-ring "Meeting Agenda"- 30pgs $5.50 per pack
64TD6 6-ring "To Do" pages- 30pgs $6.25 per pack
64BCH6 6-ring clear plastic Business/Credit Card Holder- holds up to 6 cards $1.75 each
64MC6 6-ring Fold-out Monthly Calendar $1.60 Each
64YC6 6-ring Fold-out Yearly Calendar $1.60 Each
64PMK6 6-ring clear plastic Page Marker/ Ruler $2.75 Each
64PDZ6 6-ring "press-down" zip-lock style clear plastic envelope $3.75 each

Item Number Item Description Price Quantity Ivory Subtotal
PD85-18 Planning Diary- weekly view 2018 $14.50 Each
PD85-17 Planning Diary- weekly view 2017 $14.50 Each
DD85 Planning Diary- Daily view 2018 $23.75
DD85 Planning Diary- Daily view 2017 $23.75
PAD85 Writing Pads (5) $8.50
85EX Expense Pages- 30 pgs $8.00 per pack
85FR Faint Ruled Pages- 30 pgs $8.00 per pack
85GR Graph Paper- 30 pgs $8.00 per pack
85ME "Meeting Agenda" pages- 30 pgs $8.00 per pack
85TD "To Do" Pages- 30 pgs $8.00 per pack
85PMK Clear plastic Page Marker/ Ruler $3.25 each
85PDZ Clear Plastic Press-down Envelope- zip-lock style closure $3.750 each
5D85 5-Division, Erasable Side-Tab index with stick-on labels $5.50 per pack
3D85 13-Division, Alphabetic Index with Mylar Tabs $5.45 per pack

Item Number Item Description Price Quantity
Ivory only
Subtotal
PD1831-18 3-ring Planning Diary 2018 $29.75 Each
PD1831-17 3-ring Planning Diary 2017 $29.75 Each
ADRBK Address Book with A-Z tabs. $17.30
PAD1831 Slip-in Memo Pads- 3 pads per pack $7.50 per pack
FR1831 Faint Ruled Pages. $9.65
MIT1831 Monthly stick-on Index Tabs $5.00 Per Pack

Shipping Charges
For Domestic Standard Shipping Add $5.00 to order
For Domestic UPS Blue Label Shipping Add $12.00 to order
All Foreign Orders Add $15.00 to order
Subtotal with Shipping

Massachusetts Sales Tax
Massachusetts residents please add 5% sales tax
Total Order



Please make sure that:
  • You have filled in the account information at the top of this form.
  • You have checked your order quantities, styles and ordered the correct size.