FAX or MAIL this form to:
RainwearImports.com
2841 E. Woodbury Dr
Arlington Heights,IL, US 60004
Tel: 800.429.0896
Fax: 847.890.6222
Order Form
"Contact" Information:
Name:
Company:
Email:
Phone:
Fax:
"Bill To" Information:
"Ship To" Information:
"Payment" Information:
Payment Type:
Credit Card:
Terms:
Card Number:
Name on Card:
Expiration Date:
"Misc" Information:
PO Number:
Promotion Code:
Tax Exempt Number:
"Product" Information:
Item #
Item Description
Color
Size
Qty
Price
Total
