| Here is a Partial List of Safety First Glove Users | Additional Items |
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_______ X-SMALL # OF CASES ___________ @ $99.80/CS = _____________
_______ SMALL _______ LARGE Sales Tax (CA Residents 8.25%) = _____________
_______ MEDIUM _______ X-LARGE (5.99/bx) SHIPPING = _____________
FAX your order at 800-938-0909 TOTAL = _____________
SHIP TO:
COMPANY NAME: __________________________________________________________________________________
OFFICE MANAGER: ________________________________________________________________________________
PERSON ORDERING: _______________________________________________________________________________
ADDRESS: _______________________________________________________________________________________
CITY: ________________________________ STATE: _____ ZIP: ________-________
TEL: ( ) ____________________________________ FAX: ( ) _____________________________________
_________ Check Enclosed _________ Ship COD _________ Bill Me - NET 15 Days (on approved credit)
_________ Credit Card - Visa/Mastercard/Amex __________________________________ EXP: ___________
ORDER SHIPPED THE SAME DAY!