Andrew Thompson Company Order Form
Bill to:
Company Name:_________________________________________________________________

Contact Person:_________________________________________________________________

Address:_______________________________________________________________________

City:____________________________________State:_________________Zip:______________

Phone: (________)_________________________________________________Ext:___________

Fax:     (________)_______________________________________________________________

E-mail address __________________________________________________________________

Ship to:
Company Name:_________________________________________________________________
Contact Person:_________________________________________________________________
Street Address:__________________________________________________________________
City:___________________________________________________State:_______Zip:_________
Phone: (________)____________________________________________Ext:________________
Item#
Description
Color
Size
Quantity
Price
Item
Total
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          Price
of Order
 
Sales tax for Tennessee customers only.
Shipping charges are additional; for exact shipping charges, please call us.
Method of Payment:
MasterCard: # ________________________________________

Visa Card: # __________________________________________

Signature: __________________________________________________________________
Check or money order (US funds only)
Purchase Order # __________________________