EZWrap.Com Order Form

Fax or Mail to:	            	  	Fax to:    1 262-554-8508		

EZWrap.Com				By phone:  1 800-879-2915
P.O. Box 246                           
Racine, WI 53401


Ship to: ___________________________________________________________

Your Name: _________________________________________________________

Company: ___________________________________________________________

Street Address (no PO Boxes):_______________________________________

City: ______________________________State: ______ Zip: _____________

Phone: ____________________ E-mail: ________________________________


Part Number       Description      	Color	  Quantity    Price    Total

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 					               Subtotal:____________

(WI State Residents must pay sales tax of 5.1%)       Sales Tax:____________

Shipping Charges:                                     Shipping: $5.00 
					(Shipping free if order is $5o to $1,000.)
 If you would like your order shipped next-dar air, please call us.

  
                                                Art Set up fee:_____________

		     	      
                                                          TOTAL:____________


_____Please ship using my Credit Card:__________________

Check one:
_____MasterCard   _____Visa    _____Discover  


Card Number: _______________________________________________________

Expiration Date: ________________

Signature: _________________________________________________________

Thank you for your support. Most orders ship within 24hrs.