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Date
Ship To
Name
Address
City State Zip
Phone Fax Email
Mailing Address (if different than shipping)
Payment Type   Visa   MasterCard   American Express
Account # Expiration Date
Signature

Order Items
Qty Size Item Fabric Alternate Fabric* Price Total

Shipping Charges (US Priority Mail)
For orders totaling     Shipping Fee
$15-$49$5.00
$50-$99$7.50
$100-$149$8.50
$150 +Free Shipping
Please call for Express Shipping fees
SubTotal
WA State (add 8.8% tax)
Shipping
Total
*Occasionally, IMPWEAR is unable to get a fabric, so the order form asks for an alternative choice. If we are out of both, we will notify you immediately and you can choose a suitable substitute before we accept your money.

Send to: IMPWEAR 612 27th Ave E Seattle, WA 98112 or Fax to: 206-324-3255 (call first!)



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tracy@impwear.com | 206.324.3255 | order now
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