Shipping
When Ordering Please give us your:
               1. Item Number 
               2. Quantity wanted 
               3. Shipping Address               
               4. Phone Number 
               5. Email   
               6. Payment Type
Toll Free Fax 1-800-206-4537
Toll Free Phone 1-877-776-6497
Office (727) 939-3456

 Our Staff is ready to help you 
Mail or Fax or Phone

Print Order Form (Highlight First)

Name

:

Address

:

City

:

State

:

Zip Code

:

Phone

:

Email

:

 

Toll Free Fax 1-800-206-4537

Toll FreePhone 1-877-776-6497

Office (727) 939-3456

Our Staff is ready to help you

Quantity

Item No.

Description

$ Each

$ Total

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Sub Total

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Fl. Residents Add Tax 7%

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Shipping and Handling Fees( see chart below)

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Total Cost

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Shipping & Handling Fees * ADD TO ORDER

# of 3-Packs 1

$

# of 3-Packs 3 or more

$

# of 3-Packs 6 or more

$

# of 3-Packs 12 or more

$

# of Scrubbys 1

$

# of Scrubbys 3 or more

$

# of Scrubbys 6 or more

$

# of Scrubbys 12 or more

$

Check Type of Payment: Visa Master Card Check Other

Card Number_______-________-_______-________ Expiration_________

 
    Please Call or Fax this form to our office with your information