US Wings Wholesale Fax Form

Item#	Description	Size	Quantity	Price	Shipping
Sub-Totals:
Price Total (Price Total = total - wholesale discount):
Tax* (OH residents add 6.5% sales tax):
S&H** Total (S&H Total = total S&H - 50%):
Grand Total:

*Ohio residents ONLY. No sales tax required for orders outside of Ohio. **For orders outside the USA, go to our Shipping Charges page for S&H charges.

Billing Info
Name:
Address:
City, State, Zip:
Phone:	Email:

Shipping Info (only if different from Billing Info)
Name:
Address:
City, State, Zip:
Phone:	Email:

Payment Method (please check one)
___Western Union Quick Pay (read details): $
___MasterCard	Exp. Date:	Account#:
___Visa	Exp. Date:	Account#:
___American Express	Exp. Date:	Account#:
___Discover	Exp. Date:	Account#:
Signature (required for orders):
Comments/Instructions:

20% restocking fee for returns. For full Returns/Exchanges info, go to:
http://www.uswings.com/return.asp

We ship UPS/US Mail. Next Day delivery available. Call for details.
Next Day Air: additional $60, 2nd Day Air: additional $30 (over normal S/H).

Fax to:
1-330-653-3750

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