Cobblestones Activewear

APPAREL ORDER FORM (Click Here to print & fax this form)
THIS ORDER FORM DOES NOT QUALIFY FOR AN INTERNET DISCOUNT

Account Name:

Phone:

Buyer Name:

Fax:

Account#:

P.O.#:

Today's Date:

Ship Complete
Ship & Back Order

Special Instructions:

Bill To Address:

Ship To Address:

Terms:

COD

Net 30

Ship Via:

Ship Date:

Credit Card #:

Exp:

Visa
MasterCard

		Youth			Adult
Style	Color	YS	YM	YL	XS	S	M	L	XL	2X	3X

For Fax Orders Only:

Authorized Signature:_____________________ Print Name / Title: _________________ Date: _________

PLEASE MAKE COPIES OF THIS FORM AND FAX TO 1-800-688-1865 /
ATTN: CUSTOMER SERVICE DEPARTMENT

After your order is received and entered, Cobblestones will fax you a final approval to sign.