|
Order
Form
To place
an order by fax or mail, please print and complete the following
order form. Fax Number: 978-663-5566
Mailing Address: 14 Hadley St., Billerica, MA 01862
| Name:
__________________________ |
Phone:
_________________ |
| Street
Address: ____________________________ |
|
| City,
State: ______________________ ZIP: _________ |
|
| ITEM
1 |
| Item
Description: _________________________ |
Town
and/or Team (if applicable): |
| Item
Number: _______________ |
_________________________________________ |
| Size:
________ |
|
| Color:
____________________ |
Price:
____________ |
|
Personalization
(if any): PLEASE PRINT CLEARLY
__________________________________________________
ITEM
2
|
| Item
Description: _________________________ |
Town
and/or Team (if applicable): |
| Item
Number: _______________ |
_________________________________________ |
| Size:
________ |
|
| Color:
____________________ |
Price:
____________ |
|
Personalization
(if any): PLEASE PRINT CLEARLY
__________________________________________________
ITEM
3
|
| Item
Description: _________________________ |
Town
and/or Team (if applicable): |
| Item
Number: _______________ |
_________________________________________ |
| Size:
________ |
|
| Color:
____________________ |
Price:
____________ |
Personalization
(if any): PLEASE PRINT CLEARLY
__________________________________________________ |
Total
Item(s) cost: __________
Sales Tax (5%): ___________
Total Charge: _____________
| Form
of Payment: |
___
enclosed check |
|
___
please bill to my credit card below |
| |
|
| Billing
Name: |
_________________________________ |
| Billing
Street Address: |
_________________________________ |
| City,
State, Zip: |
_________________________________ |
| Type
of Credit Card: |
________________ |
| Number: |
________________________
exp. date: ______ |
|
