TO ORDER, PRINT OUT THIS FORM, FILL OUT COMPLETELY AND MAIL WITH YOUR CHECK OR MONEY ORDER TO:
| Sold to: Name:______________________________ Address:____________________________ City, State, Zip_______________________ Phone#:_____________________________ E-mail address:________________________ |
Ship to (if different than address at left): Name:______________________________ Address:____________________________ City, State, Zip_______________________ |
Items not available for shipment will automatically be placed on backorder, unless you notify us differently. Back ordered items are normally available for shipment within 6-8 weeks. If you DO NOT want items placed on backorder, please check HERE _____.
| ITEM NO. | QTY | ITEM DESCRIPTION | SIZE | FIRST COLOR CHOICE | SECOND COLOR CHOICE | ITEM PRICE | TOTAL PRICE |
Credit card number: Expiration date: Signature______________________________ |
GRAND TOTAL: __________ TN RESIDENTS ADD 8.25% SALES TAX: _____ (CLICK HERE FOR SHIPPING RATES)SHIPPING TOTAL_________ GRAND TOTAL_________ |
ADDITIONAL INFORMATION AND COMMENTS: