Welding Cap Order Form

Order Date:_________________________(Note: We only ship to U.S. and Canada addresses)
Ship To Address: (Please Print Clearly)
Name __________________________________________

Street Address ___________________________________

City ____________________________________________

State, ZIP ______________________________________

E-mail (required)_________________________________
Telephone________________________________________


Qty. Cap Size Fabric Description Crown Ht Price Each Total
         $10.99  
           
           
           
           
           
           
           
           
           
Shipping:  
  Subtotal:  
Texas residents please add 6.25% Sales Tax on total with shipping Texas Sales Tax:  
  Total:  
Mail this completed form with MONEY ORDER payment to:
B Cook
P.O. Box 630032
Nacogdoches, TX 75963

©Copyright 2004 Brenda Cook/Blue Rose Web - All Rights Reserved.