CHS Merchandise Printable Order Form
655 West Prospect Road, Fort Lauderdale, FL 33309
Phone: (954) 565-2711 Fax: (954) 565-2775

Item No

Item

Color

Price

Qty

Size

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


SHIPPING ADDITIONAL

= TOTAL

STATE SALES TAX

SHIPPING

GRAND TOTAL DUE

 

 

 

 

 

 

METHOD OF PAYMENT


CHECK OR MONEY ORDER ENCLOSED

          (made payable to Sharp Marketing)
Visa Mastercard AMEX
Card # ____________________________

Exp. Date: __________

Security Code (3 Digit From Card Back) _______

 

SOLD TO

Name

 

Address

 

 

Phone:

Fax:

E-mail

 

SHIP TO Leave blank if same with Sold To.

Name

 

Address

 

 

Phone:

Fax:

E-mail