| LIONS CLUB ORDER FORM (THIS FORM MUST BE PRINTED, ORDERS CAN THEN BE FAXED OR PHONED IN TO PHONE 1-800-228-2551 FAX 706-778-9814) |
| LIONS CLUB NAME_______________________________________________ BILL TO ADDRESS________________________________________________ CITY_______________________STATE__________ZIP__________________ CONTACT PERSON_______________________________________________ PHONE #(_______)________________________________________________ SHIP TO ADDRESS________________________________________________ CITY _________________________STATE_______________ZIP__________ PHONE # TO CALL WITH DELIVERY_______________________________ CONTACT PERSON FOR DELIVERY________________________________ SALE DATE/OR SPECIFIC DELIVERY DATE__________________________ PLEASE ALLOW 14 TO 21 WORKING DAY FOR DELIVERY |
| DELUXE BROOM _____ CAROLINA BROOM _____ #36 WAREHOUSE _____ #40 WAREHOUSE _____ #30 WAREHOUSE _____ A/C TOY BROOM _____ BL TOY BROOM _____ WHISK BROOM _____ LIONS HH MOP _____ INDUST MOP 6PK. _____ TOY MOP 6PK. _____ |
| LIONS POLY BROOM _____ LIONS ANGLE BROOM _____ LIONS RED MOD BROOM _____ 18" TAMPICO PUSH BROOM _____ 24" TAMPICO PUSH BROOM _____ 18" PALMYRA PUSH BROOM _____ 24" PALMYRA PUSH BROOM _____ 54-F HANDLE WOOD THR. _____ 54-MF HANDLE METAL TIP _____ 60-MF HANDLE METAL TIP _____ SPONGE MOP 6PK. _____ |
| ITEM QUANITY ITEM QUANITY |
| ALL ITEMS SENT UPS MUST BE SENT IN CARTONS. A SHIPPING AND HANDLING FEE IS ADDED. ITEMS CAN BE SENT BY COMMON CARRIER WITH ADDITIONAL SHIPPING CHARGES. |
| ALL QUANITIES ARE DOZENS UNLESS STATED |