Wholesale Order Form

All in a Name order form

Wholesale information (your name must be listed with me in order to place wholesale orders):

Please provide the following contact information:

Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

FAX

E-mail

URL

Please provide the following ordering information:

QTY

DESCRIPTION

SHIPPING

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Enter the date of ... :

-- mm/dd/yy

Enter your payment option ... in the space provided below.


Special instructions or comments:

 

 

Poem or Name...............................$3.50 each

Key Chain.................................................$2.00 each
Frame for poem or name...............$2.00 each

Ye Olde General Store.
Copyright © 2002 [Ye Olde General Store]. All rights reserved.
Revised: May 17, 2007