ORDER FORM
PAGE 2: IMPORTANT!
To use this form: Fill out all of the information below. Then be sure to PRINT THIS PAGE using your web browser. When you've finished on this page, return to page 1 using your web browser's BACK BUTTON.
Date:
Customer's Last Name:

Items to be Ordered (con't):
Qty
Item No.
Description
Price/Item
Total
Subtotal
Be sure to include both pages when ordering by fax or by mail!
PRINT this page, then COPY this total to page 1