PRINTABLE FAX ORDER FORM

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PRINT THIS PAGE, FILL IT OUT, AND FAX IT TO:
(805)241-3609

DATE:____________________________

BILL TO: SHIP TO (if different from billing info):
Name: Name:
Company: Company:
Address: Address:
   
City: City:
ZIP: ZIP:
Country: Country:

Unit price is $9.50 if ordering less than 12;   $7.00 if ordering 12 or more;  or $5.00 if
ordering 12 or more and you have and write down your seller's permit number here:______________

* CALIFORNIA RESIDENTS ONLY: 8.25% Sales Tax will be added
(this tax is not applicable to resellers and tax-exempt organizations)

COLOR QUANTITY UNIT PRICE SUBTOTAL
Pink      
Hot Pink      
Light Blue      
Royal Blue      
Navy Blue      
Green      
Red      
Black      
Burgundy      
White      
Off-White      
Purple      
Light Purple      
    Shipping & Handling: FREE!
    TOTAL:  

Best time to call you about this order:__________________
Phone:_____________________      E-mail:____________________

THANK YOU FOR YOUR ORDER!