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ONLINE
EASY ORDER FAX FORM
18 Forest Bay Lane Cicero, IN 46034
Click Here To Return To TEXON2.COM
Print this form and FAX TOLL FREE to: 800/728-4770 or Call 800/328-3966
Credit
Information accepted by Fax, Phone or Mail
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Rush
my order to: |
Date
Ordered: _____________________ |
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Company:
______________________________________ |
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Street
Address: __________________________________ |
PO
No.: __________________________ |
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City:
__________________________________________ |
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State:
_____________
ZIP: _______________ |
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Bill
to (if other than above): |
Ordered
by: Name/Title |
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Company:
______________________________________ |
__________________________________ |
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Attention:
______________________________________ |
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Address:
_______________________________________ |
__________________________________ |
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City:
__________________________________________ |
Phone
No.: _______________________ |
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State:
_____________
ZIP: ______________ |
Fax
No.: _________________________ |
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QUANTITY ORDERED |
DESCRIPTION |
Product # & Description |
PRICE PER DOZEN |
TOTAL COST PER ITEM |
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TOWELS (DOZEN) |
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15"x25" Hand |
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16"x26" Hand |
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16"x27" Hand |
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20"x40" Bath |
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20"x44" Bath |
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21"x40" Bath |
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21"x45" Bath |
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22"x42" Bath |
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22"x44" Bath |
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24"x45" Bath |
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24"x48" Bath |
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24"x50" Bath |
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25"x50" Bath |
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27"x50" Bath |
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27"x54" Bath |
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28"x40" Bath |
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28"x48" Bath |
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35"x66" Bath |
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WASH CLOTH (DOZEN) |
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12"x12" |
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Laundry Bags/Collars/Other |
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MERCHANDISE
TOTAL |
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Shipping
& HANDLING |
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SALES
TAX (INDIANA ONLY) @ 5.0% |
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