|
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:
______ | |
