PLEASE NOTE: THIS ORDER FORM IS FOR SLAG RAGS WELDING CAPS & APPAREL ONLY.

Slag Ragstm Order Form	We accept Visa, MasterCard & Discover
Order Date:_________________________	Company P.O.__________________

Bill To Address:	Ship To Address (if Different)
Name______________________________ Street Address_______________________ City_______________________________ State or Province_____________________ Zip code____________________________ Country____________________________ Telephone__________________________	Name______________________________ Street Address_______________________ City_______________________________ State or Province_____________________ Zip code____________________________ Country____________________________ E-mail address_______________________
Qty. Size Style # Description Color Price Ea. Total                                                                                     Shipping & Handling Chart Minimum Shipping $2.95 $20.00-$39.99 $4.75 $40.00-$59.99 $6.00 Over $60.00 add 12% +12% Exact shipping plus $2.00 handling and Insurance will apply to APO, FPO, Alaska and Hawaii, & International shipping.  Subtotal   Washington State Residents add 8.8% Sales Tax   Shipping/Handling    Grand Total   Back to home page Click Here Visa___ MasterCard___Cashiers Check/Money Order___ Card Number:________________________________________EXP:______ Signature:_____________________________________________ (Required) All Orders in U.S. Funds IMPORTANT NOTICE: Your credit card will be billed to ADS-Paragon Patterns for Slag Ragstm orders.  By placing an order with Slag Rags you acknowledge that you have read and agree with our policies. See policies for more information. Mail or fax this completed form to: Slag Rags P.O. Box 64905 Tacoma, WA 98464 USA Voice Mail: 253-565-0285 FAX: 253-460-1034 Copyright 2003 Slag Rags. All Rights Reserved.