What-a-seat.com: Order Form

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WHAT-A-SEAT - $31.95 Each, 2 for $60 - Discounts For Quantity Orders! *10043 Pine Camp Rd., Coeburn, VA. 24230 Phone: 276-395-7887**
Customer Information: Name:_______________________________ Ship To:____________________________ Address:____________________________ City:_______________________________ State:______________________________ ZIP Code:___________________________ Phone:______________________________ Email:______________________________	Colors Available NAVY NAVY -RED NAVY -GOLD NAVY-WHITE BLACK BLACK -RED BLACK -GOLD BLACK -TEAL BLACK -WHITE BLACK-ORANGE BLACK-PURPLE RED RED -GRAY RED-WHITE BURGUNDY -GOLD	More Colors BURGUNDY-WHITE FOREST -GOLD FOREST-WHITE PURPLE -GOLD PURPLE -TEAL PURPLE-WHITE MALLARD -TAN CAMO OTHER COLORS ON REQUEST... SCHOOL LOGOS - Free! BUSINESS LOGOS - Free! WITH ORDER OF 25 OR MORE...

ITEM COLOR	DESCRIPTION	UNIT PRICE	TOTAL PRICE





*Quantity Total/Unit Prices	QUANTITY TOTAL:	SUB TOTAL:	$
3-24/$30.00 EA. 25-49/$24 EA. 50-99/$22 EA. 100+/$19 EA.		VA add 5% TAX:	$
Quantity S & H Costs: 2 to 9 seats, $13.00 / 10 to 20 seats, $18.00		if (1) $6.00 S&H:	$
Note: Please check your addition carefully to avoid delays in processing your order.		ORDER TOTAL:	$

mailto:information@what-a-seat.com Payment Options Below:

1. Check/Money Order Payable To: William Craiger, along with this form, sent to address above.

2. Visa or Mastercard orders accepted! Order by mailing in the completed form.

Circle one above. Card Number:____________________________Expire Date:___________

Order Total_________Signature:________________________Allow 6-8 weeks for delivery.