Welding Cap Pattern Order Form

Order Date:_________________________
Ship To Address - U.S. and Canada only: (Please Print Clearly)
Name __________________________________________
Street Address ___________________________________
Suite, Apt _______________________________________
City ____________________________________________
State ___________________________________________
Zip code_________________________________________
E-mail __________________________________________
Telephone________________________________________


Qty. Cap Size Package Description Price Each Total
         
         
         
         
         
         
         
         
         
         
  Subtotal:  
Texas residents please add 6.25% Sales Tax Texas Sales Tax:  
  Shipping: FREE
  Total:  
Mail this completed form with MONEY ORDER payment to:
B Cook
P.O. Box 630032
Nacogdoches, TX 75963


©Copyright 2004 Brenda Cook/Blue Rose Web - All Rights Reserved.