Holsterguy.com , Order Form
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Today's Date:
Purchase Order Number
( Net 30)
Ship To Address:
Bill To Address:
Check box if same as ship to
Name:
Name:
Attention:
Attention:
Address:
Address:
City:
City:
State, Zip
State, Zip
Phone:
Phone:
e-mail
e-mail
Item #
Product Description
Size/Color
QTY.
Price Each
Total
Finish
Grand Total
Customer Service 1-866-612-1961 or e-mail us at
holsterguy@earthlink.net
Credit Card Information
IMPORTANT
After Completing this Order Form, fax to www.holsterguy.com @ 1-253-922-5889
Hand write credit card information
Card Number:
__________________________________________
Exp. Month: (eg.06)
______
Exp. Year: (e.g.. 2006)
___________
Name on Card:
________________________________
Signature
_________________________________________
Date
_____/_____/_____
Mail To:
Fax To:
Holsterguy.com
Holsterguy.com
PO BOX 1997
Fax Number: 1-253-922-5889
Milton, WA 98354
©2006 All Rights Reserved, www.holsterguy.com