| Item # | Quantity | Description | Size | Price Each | Total |
|---|---|---|---|---|---|
| __________ | __________ | __________ | __________ | __________ | __________ |
| __________ | __________ | __________ | __________ | __________ | __________ |
| __________ | __________ | __________ | __________ | __________ | __________ |
| __________ | __________ | __________ | __________ | __________ | __________ |
| __________ | __________ | __________ | __________ | __________ | __________ |
| __________ | __________ | __________ | __________ | __________ | __________ |
| Sub Total $ _______________ |
| Payment Options: Check/Money Order ___ Visa/Mastercard ___ American Express ___ |
| Card #___________________________________________ Exp. Date_____________ |
| Signature: |
| CO State Residents: Please add 7% sales tax |
| Shipping by UPS: Will Advise Customer before Shipping. |
| Total Enclosed: $ |
| NOTE: Please make check or money order payable to: Staffs by Gust |
| Name: |
| Address: |
| City/Providence: |
| State & Zip Code: |
| Country: |
| Phone with Area Code: |
| Fax with Area Code: |
| Email Address: |
Staffs by GustPO Box 202Cotopaxi, CO 81223 719-942-4616 |
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