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Go to our homepage. Click here for Wilson Wirebound Refills. Click here for Wilsons Loose Leaf Refills. Click here for ordering information. Click here for information on contacting The Refill Connection.

The Refill Connection Wilsons Leather Wirebound Order Form

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. Fill out all ordering information.
  2. Select your refill products.
  3. Print out the completed form.
  4. Fax the form toll-free to our Boston location for immediate service.
  5. Fax toll-free to: 877 733-4551
  6. For more information phone toll-free 866 733-4559
  7. 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 Subtotal
Wirebound 5" x 8"
WPDR85W-18 Spiral Bound Planning Diary 2018 $13.00
WPDR85W-17 Spiral Bound Planning Diary 2017 $13.00
WADR85W Address Section $11.50
WPAD85 Memo Pads (5). $7.50
WMIT85 Monthly Index Tabs. $5.00
Wirebound 3 1/4" x 6 1/4"
WPDR63W-18 Spiral Bound Planning Diary 2018 $9.50
WPDR63W-17 Spiral Bound Planning Diary 2017 $9.50
WADR63W Address Section. $8.00
WPAD63 Memo Pads (3). $2.75
WMIT63 Monthly Index Tabs. $5.00

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 have ordered the correct size.