Holsterguy.com , Order Form
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