ORDER FORM

To place a Factory Direct Order, print and fax to 1-520-792-2030.

Company Name __________________________________________________ Date ____________________

Billing Address ____________________________________________________________________________

City ______________________________ State ___________________ Zip ___________________________

Shipping Address __________________________________________________________________________

City ______________________________ State ___________________ Zip ___________________________

Telephone ____________________________________ Fax ________________________________________

Purchase Order No. ___________________________ Name _______________________________________

Shipping Method: Freight UPS 3-Day UPS 2-Day UPS Next-Day UPS

Payment Method: Mastercard Discover Visa Amex

Card #:__________________________________ Exp._________________

Quantity	Model No.	Description	Unit Price	Total















ORDER FORM INFORMATION 1. Products are shipped via UPS, Parcel Post or truck 2. Prices do not include shipping. 3. Caps requiring a special logo, allow additional time. 4. We welcome the opportunity to quote on your custom needs. 5. Prices subject to change without notice.			Sub Total
			AZ Residents + Sales Tax
			Sub Total
			Shipping
			TOTAL
			P.O. BOX 27367 • TUCSON, AZ 85726 • USA 3225 E. 47TH ST. • TUCSON, AZ 85713

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To place Factory Direct Orders call 1-800-445-5320