WHOLESALE ORDER FORM

MINIMUM $150 WHOLESALE ($300 RETAIL) OPENING ORDER REQUIRED.
Reorders require a 2 piece min.order. After minimum order is placed, all orders $300 Retail
or more will receive a 50% retail discount. All other orders receive a 40% discount.
Average turnaround time is 3-4 days. Please allow 1-2 weeks for delivery.

Bill to & Ship To:

*Required Fields

*First Name *Last Name

*Company Title

*Address Apt/Suite

*City *State Alabama Arkansas Arizona California Colorado Conneticut Washington DC Delaware Florida Georgia Iowa Idaho Illinois Kansa Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ---Select---

*Telephone Contact Alt. Phone Fax

Email

Website Hear about us? Search Engine Yellowbook Pages Sytek Yellow Pages Magazine Newspaper Radio From a Friend Repeat Customer ---Select---

Alternate Ship To:

First Name Last Name

Company Title

Address Apt/Suite

City State Alabama Arkansas Arizona California Colorado Conneticut Washington DC Delaware Florida Georgia Iowa Idaho Illinois Kansa Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ---Select---

Ordering Information:

Date P.O.# (*Please click in total box to calculate each line)

Qty.	Item#	Color #	Size	Short Description	Retail Price	Total

 

Name on Card Credit Card# Expires Resale Tax ID # Call me for my credit card number Shipping charges will vary depending on location. Please CLICK FOR AVERAGE SHIPPING COST in your area. We ship Speedy where applicable and UPS Ground. Notify us if any other shipping is required. Exact shipping charges will be added to subtotal and billed to credit card prior to shipping order.

Subtotal Discount % Subtotal + Shipping TOTAL