Pj wholesale order Form
We want to thank you for your order.
If you want to order through postal mail click here
Name
Address:City
state: zip
Phone number
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item
Qty.
Description
Color/size
price
Total amount
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FREE ITEM
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Total Amount of all items above
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Comments about order
Have a catalog sent to a friend...FREE Merchandise total
Name: Sales tax (if applicable)
Address Packing &Shipping
CityStatezip Total Amount
Full amount - free item
Enclosed is the full amount of my order $
Paid by : Please select one Check Money order certified check Visa Mastercard Discover American Express
Card number
Ex Date:
Packing and shipping Chart
up to$14.99......................................add $4.05
From $15.00-$19.99..................................add $4.35
From $20.00- $24.99..................................add $4.65
From $25.00- $29.99..................................add $5.45
From $30.00- $34.99..................................add $6.05
From $35.00- $39.99..................................add $7.00
From $40.00- $44.99..................................add $7.80
From $45.00- $49.99..................................add $8.60
Over $50..................................add $9.10
After all information has been entered, click the SUBMIT button. Reset clears all selections!
PJ Wholesale Company
1924 Elizabeth Ave.
Corning, Ca 96021
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