AUTOMOTIVEWORKWEAR.COM - RED KAP UNIFORM ORDER FORM

Bill To: Ship To: (if different)
Company: Company:
Name: Name:
Address: Address:
City: City:
State & Zip Code: State
Phone: Zip Code:
Email: Phone:
Item Number Color Size Description Qty Price ea. Total
             
             
             
             
             
             
             
             
             
             
             

UPS Ground Shipping Charges
Orders $0.00 - $49.99 = $9.00

Orders $50.00 - $149.99 = $14.00
Orders $150.00 - $249.99 = $18.00
Orders $250.00 - $399.99 = $22.00
Orders $400.00 - $599.99 = $30.00
Orders $600.00 or more = 5% of total

Sub Total:  
Lines of Embroidery X $5.95 each:  

California Residents add 9.5% Sales Tax:

 
Shipping:  
Voice 800-589-1084 / FAX 800-589-1025 / www.automotiveworkwear.com
Total:  


METHOD OF PAYMENT

Check or money order payable to: AUTOMOTIVE WORKWEAR, INC

If ordering by Credit Card, please fill in the information below:

VISA Master Card Discover American Express


MAIL TO:

AUTOMOTIVE WORKWEAR, INC.
881 SNEATH LANE, SUITE 113
SAN BRUNO, CA 94066-2412


CREDIT CARD NUMBER

EXPIRATION DATE

AMOUNT


NAME AS IT APPEARS ON CARD


SIGNATURE DATE