
P.O. Box 1975 Brewster WA 98812
Telephone (509) 689-3211
|
Order Form |
|
Ship To: |
|
Payment By: |
|
Check: |
_____ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Date Ordered: |
___________________ |
|
|
|
|
Money Order: |
_____ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Will you accept substitutions? Yes __ No __ |
|||
|
Invoice: |
|
Description (Name) |
Qty. |
Unit Cost |
Total Amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal |
_____________ |
|
Washington State Residents Only (Sales Tax) |
ST 7.6% |
_____________ |
|
|
S/H Charge |
_____________ |
|
|
Total |