Print this form

Print this form, then fill it out and fax it to : 1-858-653-3037
Or you can mail it with your check to :
Shirtwholesaler.com
Attn: sales Dept.
9225 Dowdy Dr. # 107
San Diego, CA. 92126

Ship To: Company Name:_______________________________________
Name: _________________________________________ PO#:_________
Address:______________________________________ APT: #________
City:____________________________ State:_____ Zip:_______ _____
Day Tel:_________________ Night Tel: _______________ FAX:_________
E-Mail:___________________________________ Date:___/__/___
Bill To: Company Name:_______________________________________
Name: _________________________________________
Address:______________________________________ APT: #________
City:____________________________ State:_____ Zip:_______ _____

Order information
             Shirt description                         Color       Size    Qty   Price   Total
1 __________________________ ________ ___ ___ _____ ____
2 __________________________ ________ ___ ___ _____ ____
3 __________________________ ________ ___ ___ _____ ____
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18 _________________________ ________ ___ ___ _____ ____

Credit card Information                                                          Subtotal:________
Visa M/C A/E Discover                       (California residents only add) Sales Tax:________
credit card # _____ _____ _____ _____                      Shipping Charges:________
Expiry date: _____ _____
            Signature:___________________                                         Total:_______
Notes: ______________________________________________________________
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