

| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Qty:___ Item #_________ Color _____________ Size_____ Price Each: $ _______ |
| Sub Total: $ |
| TX Residents, Please add 8.25% Sales Tax $ |
| Shipping & Handling (see chart below) $ |
| Total Enclosed: $ |
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Shipping & Handling Charges: Orders Shipped Priority Mail.
Up to 2 lbs is $4.00;
up to 3 lbs is $5.00;
up to 4 lbs is $6.00;
up to 5 lbs is $7.00 Figure S & H separately for each address we ship to. |
| Return Policy: Items must be returned unworn within 5 days of receipt for exchange only. You pay for the return postage; we will pay to send the replacement item. |
| Company Name: |
| Name: |
| Address: |
| City/Providence: |
| State & Zip Code: |
| Country: |
| Phone with Area Code: |
| Fax with Area Code: |
| Email: |
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