The refill connection has time management system refills for the world's most popular agendas.

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.

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.
Fill out all ordering information.
Select your refill products.
Print out the completed form.
Fax the form toll-free to our Boston location for immediate service.
Fax toll-free to: 877 733-4551
For more information phone toll-free 866 733-4559
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
PD646-10	6-ring Planning Diary- Weekly View	2010	$10.50 Each
PD646-09	6-ring Planning Diary- Weekly View	2009	$10.50 Each
DP646-10	6-ring Planning Diary- Daily View	2010	$23.00 Each
DP646-09	6-ring Planning Diary- Daily View	2009	$23.00 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
64AD6	Address Pages		$6.25 per pack
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
64GR6	6-ring Graph Paper- 30pgs		$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
2M6421	6-ring Monthly stick-on Tab Index (Black only- 2 sets per pack)		$5.50 per pack

Item Number	Item Description		Price	Quantity Ivory	Subtotal
PD85-10	Planning Diary- weekly view	2010	$13.00 each
PD85-09	Planning Diary- weekly view	2009	$13.00 Each
RK85	Planning Diary Replacement Kit- includes 256pgs of supplemental pages: "To Do", Faint Ruled, Contact Profile, Graph paper, Undated Daily Appointment, Project/Goal, Daily Expenses and Addresses		$21.00 per kit
DD85	Planning Diary- Daily view	2010	$23.75
85AD	Address Pages- 30 pgs		$8.00 per pack
85AP	Daily Appointment Pages- 30 pgs Undated		$8.00 per pack
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
85BCH	Clear plastic Business/ Credit Card Holder - holds up to 6 cards		$2.00 each
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
2M6421	Monthly stick-on Tab Index- Black only, 2 sets per pack		$5.50 per pack

Item Number	Item Description		Price	Quantity Ivory only	Subtotal
PD1831-10	3-ring Planning Diary	2010	$27.00 each
PD1831-09	3-ring Planning Diary	2009	$27.00 Each
ADRBK	Address Book with A-Z tabs.		$17.30
AD1831	3-ring Address Pages- 30 filler pages per pack front & back		$18.00
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.