2. Complete the
portion below indicating the quantity of each item needed.
Please indicate appropriate size.
Texas sales include 8.25% sales tax
If you are paying by check / purchase order / credit card, mail or fax
502 W. Montgomery Suite 313
77378 Phone: 1-936-588-5260 Fax:
If tax exempt - please fax sales exemption certificate
If purchase order - please fax
1-832-550-2464. A complete purchase order must be received in our
office before any orders are shipped. Payments are
due upon receipt of goods unless prior arrangements
are made with our office.
Billing information and address :
Credit Card #
Type of card:
Name on credit card:
Shipping address if different from billing address:
NOT ship to PO BOXES!