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SHIP TO Co. Name: Attn. To: Street Address: City: State: Zip Code: Phone:() Fax:() E-mail:
BILL TO(Complete ONLY if different from shipping information) Co. Name: Attn. To: Address: City: State: Zip Code:
BILLING INFORMATION K&B Open Account Rated in Dunn &Bradstreet Prepayment to Kaeser & Blair in Full Prepayment by Credit Card (Mastercard, Discover, American Express, or Visa) Card Holder's Name Card Holder's Phone() Card No. Exp. Date Today's Date I hereby approve the terms of this contract, please charge the balance due to my charge card, to prepay my custom order.
PRODUCT Quantity: Product #: Product Name: Set-up Charge: Item Color: Imprint Color: Wearable Sizes: Small Medium Large XL XXL
SHIPPING SPECIFY SHIPPING METHOD: Customer is responsible for all freight, handling and expediting charges and will automatically be invoiced by Kaeser & Blair for the method authorized below. When prepaying order be sure to estimate and include freight with payment.
Ground/5+ Days 2 Day/BLUE 3 Day/ORANGE 1 Day/RED OTHER
SPECIFY SHIPPING DATE: We will ship your order ASAP unless otherwise specified: Allow 1-3 Days for K&B to process and for plant to receive order in addition to in factory production time listed for each product, plus transportation time. Product for EVENT DELIVER IN HANDS BY OR NOTIFY Product for FUTURE USE DO NOT SHIP BEFORE
Special Instructions or Comments:
I have read and approve the above Order, Price and Copy and agree to the terms. I furthur agree to pay, on demand all costs and reasonable attorney fees which Kaeser & Blair may incur in the enforcement of this contract. All past due sums under this contract shall bear interest from the 30th day after the invoice date until paid at a rate of 18% per annum. No verbal agreements recognized.
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