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A. CHATILA
Wholesale Halloween Order Form |
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fax us your order:
718-227-7601 |
call in your order:
718-966-0600 |
mail in your order:
A. Chatila Co. Inc., 2951 Arthur Kill Road Staten Island, NY 10309 |
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| Company
Name: (bill to) Name: |
Ship
to: (no P.O. Box) Name: |
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| Contact Person: | Contact Person: | ||||||||||
| Street Address: | Street Address: | ||||||||||
| City _________ State________ Zip_____ |
City
_________ State________ Zip_____
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| VISA MASTERCARD DISCOVER CHECK TERMS | |||||||||||
| Credit Card #_____________________Expiration Date_______________ (mo/yr) | |||||||||||
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Card Holder's Name____________________ (print) Signature _________________ |
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There
is a 3 pc. minimum per style. Minimum Quantity for all orders are: $250.00
PLEASE NOTE: FIRST TIME BUYERS - FILL OUT OUR CUSTOMER APPLICATION AND SEND IT WITH YOUR ORDER. |
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Style
#
|
Name
of Costume
|
Color
|
Infant
/ Toddler /
Child / Adult |
Size
|
Qty
|
Price
|
TOTAL
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
v
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
v
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
v
|
0
|
0
|
0
|
|
|
0
|
0
|
0
|
0
|
0
|
v
|
v
|
|
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
|
0
|
00
|
0
|
0
|
0
|
0
|
0
|
|
|
00
|
0 0
|
0 0
|
00
|
00
|
00
|
00
|
|
|
Sub-Total
of above order:
|
|||||||
|
Handling
Charge:
|
6.00
|
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|
Grand
Total:
|
|||||||
|
BILLED
AT COST
|
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