Order Form

Your Name:
Company Name:
Street Address:
City, State, Zip ,
Telephone:
Invoicing Fax:
Email:
Shipping Address: (if different from invoicing address)
Shipping City, State, Zip ,
Shipping Telephone: (if different from invoicing telephone)
Attention:
Purchase Order Number:

Shipping Method

FedEX Ground:
Next Day Air:
Second Day Air:
Truck:
Other Shipping Method (indicate)

Payment

Prepaid by check
Prepaid by Credit Card
C.O.D.
Other Payment Method (indicate)

Order Details


Product Name
Size
Qty.
Description
Unit Price
Total Price
Subtotal
I would prefer to be contacted by Email    Phone


       

Upon receipt of your order, we will contact you for confirmation of total order price, including freight and applicable sales tax.

Governing Law: The parties acknowledge that the transaction which is the subject matter of this agreement shall be governed by the laws of the State of Texas and the parties therefore agree that the law of the State of Texas will govern their rights and duties.






AS FEATURED IN
Slippery Rock Gazette April 2012
Slippery Rock Gazette - April 2012


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