CUSTOMER NAME:    ______________________________________

NAME OF BUSINESS: ______________________________________

ADDRESS:          ______________________________________

                  ______________________________________
				  
CITY, STATE, ZIP: ______________________________________

PHONE:            ______________________________________

FAX:              ______________________________________

E-MAIL:           ______________________________________

PAYMENT METHOD:   C.O.D.____

CREDIT CARD NO:   __________________________ EXP:_______

Item     Size  Description         Quantity  Price  Total
















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                                    Total: $_____________
                                  Freight: $_____________
 (for orders in TN, add 8.25%)  Sales Tax: $_____________
                              Final Total: $_____________


How did you find us or hear about us? ____________________

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