Fox Promotions - Apparel Order Form

Apparel Items	Color	Size	Unit Price	Qty	Subtotal












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			Subtotal:
			CA Tax: 7.75%

			TOTAL:

Customer Information

Name*		Phone*
Company		Email*
Address*
City*	State* Zip*
Check if delivery address is same as contact address

Delivery Information
(if different from above)

Name*		Phone*
Company		Email*
Address*
City*	State* Zip*

Billing & Payment

Card Type		Billing Zip Code:
Name on Card		Expiration Date:	(mm/yy)
Card Number		CVV #