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If paying with Master Card or Visa:
Call us with your order or print this form and fax or mail it to us.
If paying with check or money order:
Print this form and mail it along with your payment.
| Mailing Address: Walt's Wholesale Clothing PO Box 208 Darlington, SC 29540 |
Fax: 1-843-393-3200 Phone: 1-800-233-1853 |
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Quantity |
$ |
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| Pants: | Waist Length Blue Brown Grey Green |
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| Jeans: | Waist Length | |||
| Shorts: | Waist Blue Brown Grey Green | |||
| Two Pocket Shirts: | Small Med. Large XL 2XL 3XL Blue Brown Grey Green |
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| Combination: | 6 pants and 6 shirts | |||
| Jackets: | Small Med. Large XL 2XL 3XL Blue Brown Grey Green |
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| Coveralls: | Small Med. Large XL 2XL 3XL Navy Grey Big Ben Blue Denim |
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| Smocks: | Small Med. Large XL 2XL 3XL Blue White |
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| Lab Coats: | Small Med. Large XL 2XL 3XL White only |
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| Socks: | Tube | Crew | Thermal | Ladies White Color Size 9-11 / 10-13 |
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6% Sales Tax |
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All orders add $8.95 S/H |
8.95 |
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| Send order to: |
Total |
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Name/Company |
Allow 2 to 4 weeks for delivery. Thank You |
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If paying by credit card: |
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| Card type | Mastercard Visa | |||
| Name on card | ||||
| Number | ||||
| Expiration | ||||