FOOTWHERE-USA GROUP, INC.
2917 Highland Park Drive SW
Stone Mountain, GA 30087-3935
Toll Free Phone: 888-235-4091 (for orders only)
Toll Free Fax:
877-278-3014 (for orders only)


Print Out, Complete Form and Fax Toll Free: 1-877-278-3014
ORDER FORM
Bill To:
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Ship To:
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Check: Amount Enclosed ____________
Credit Card: M/C __, VISA, __
(Credit Cards processed through PAYPAL™)
COD: ____
Tax Exempt: ___ Exemption No.:______________________
Purchase Order No.:________________________________
Will you accept substitutions? Yes __ No __
Will you accept backorders? Yes __ No __
Ship Via:_____________________________
FOB Destination:______________________
Date Ordered: ________________________
Ordered By:__________________________
Payment Policy: Net 30 days with approved credit. Submit references with first order.

Payment Options:
Special Instructions:
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Click HERE to return to Wholesale Sales
ITEM #
STATE/CITY
DESCRIPTION
UNIT
QUANTITY
UNIT PRICE
TOTAL
101
________ _______________________________
K/C
________
1.25
_________
102
________ _______________________________
K/C
________
1.25
_________
103
________ _______________________________
K/C
________
1.25
_________
104
________ _______________________________
K/C
________
1.25
_________
105
________ _______________________________
K/C
________
1.25
_________
106
________ _______________________________
K/C
________
1.25
_________
201
________ _______________________________
MAG
________
1.25
_________
202
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MAG
________
1.25
_________
203
________ _______________________________
MAG
________
1.25
_________
204
________ _______________________________
MAG
________
1.25
_________
205
________ _______________________________
MAG
________
1.25
_________
206
________ _______________________________
MAG
________
1.25
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FW-61500  
Deluxe Combo Carousel
POP
________
55.00
_________
FW-61600  
Magnet Carousel
POP
________
27.50
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FW-61700  
Keychain Stand
POP
________
12.50
_________
Sub Total
_________
Shipping
_________
Handling
_________
Tax@ ___%
_________
TOTAL DUE
_________
E-Mail Address:

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