Date _________________________
Payment Method:
If using a purchase order from the school, you need to fax , send or e-mail it
with your order.
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Credit card # _____________________________________________, Expiration date___________.
Last 3 #'s on back of credit card______________
| Ship To: | |
| Attn: | |
| Address | |
| City, State, Zip Code | |
| Address where credit card statement is sent | |
| City, State, Zip where credit card statement is sent | |
| Fax # | |
| Day Phone | |
| Best time to call | |
| Home Number | |
| e-mail address | |
| Special Instructions |
| Quantity Ordered | Description | Unit Price | $ Amount |
|
|
I have read and accepted the terms and conditions. I understand that
made to order items are not returnable.
This may include but not limited
to decorated items and custom uniforms.
Signature:________________________________________________________________ Date_________________________
Fax: 888 530-7654
Make sure to add Shipping.
Shipping