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Lexington Apparel Inc. 281-B Hwy 72, Burnsville, MS 38833 |
Toll Free: 1-866-872-9990
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ORDER FORM | |
| SHIP TO: | BILL TO: | |
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| BUYER:____________________________________ | NEW ACCOUNT:______ TAX ID:___________________ | |
| PHONE: (_______)___________________________ | CREDIT ATTACHED:______ CUST. #:_______________ | |
| FAX #: (_______)___________________________ | PO #:____________________________ |
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| NAME DROP? | YES | NO | (Circle One) | **GRAND TOTAL:$_____________ |
| RACK PROGRAM? | YES | NO | (Circle One) | SPECIAL INSTRUCTIONS: | ___________________________ |
| ______________________________________ BUYER'S SIGNATURE |
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UNLESS OTHERWISE SPECIFIED, ALL ORDERS WILL BE SHIPPED DHL OR UPS GROUND.
| PRICE LIST: |
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