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Ship Order To Date Address PO BOX ADDRESS NOT ACCEPTED CityState Wholesale Order Form ZipContact Phone Check this box if home shipment Location Number Required for HPI reference only Your Payment Method please make check/money order payable to HPI Direct Check Cashier s Check/Money Order Subtotal Send Payment to HPI Direct 785 Goddard Court Alpharetta GA 30005 from section A Add Applicable Sales Tax Shipping Total HPI Direct collects and remits sales tax in all states that have such taxes. If you have any questions please call 1-800-729-9050. Orders cannot be faxed in or called in with credit card information* Only use this form if you will be mailing in an order. Please complete sales tax by going to salestax. hpidirect. net. If you can not access the sales tax site you may call 1-800-729-9050 for assistance. AK and HI please call for shipping rates. OR DE R T O T AL SHI P P I N G 0. 00 - 30. 00 30. 01 - 60. 00 60. 01 - 120. 00 120. 01 - 150. 00 150. 01 and over 11. 95 5 of total visit All claims to be made within 5 days of receipt Call 1-800-729-9050 E-mail customersupport hpidirect. net http //. hpidirect. net Color red - COS1641RD navy - COS1641NV Ladies V-Neck Polo SM-2XL 8. 50 Vests pink - COS1639PK SM-3XL 6. 95 Safety Vest black - COS1639BK Supervisor Vest slate grey - COS1641GY Color orange with stripe - COS7167OR Apron Apron Headwear Cap Color white - COS3146WT Beanie SKU COS1641RD Description Men s Polo EXAMPLE red - COS3146RD royal - COS3146RB Regular Vest black - COS3140BK this form if you will be mailing in an order. called in with credit card information* Only use 1-800-729-9050. Orders cannot be faxed in or Shirts Color Size Qty Price Each red M 17. Please complete sales tax by going to salestax. hpidirect. net. If you can not access the sales tax site you may call 1-800-729-9050 for assistance. AK and HI please call for shipping rates. OR DE R T O T AL SHI P P I N G 0. 00 - 30. 00 30. 01 - 60. AK and HI please call for shipping rates. OR DE R T O T AL SHI P P I N G 0. 00 - 30. 00 30. 01 - 60. 00 60. 01 - 120. 00 120. 01 - 150. 00 150. 01 and over 11. 95 5 of total visit All claims to be made within 5 days of receipt Call 1-800-729-9050 E-mail customersupport hpidirect. 00 60. 01 - 120. 00 120. 01 - 150. 00 150. 01 and over 11. 95 5 of total visit All claims to be made within 5 days of receipt Call 1-800-729-9050 E-mail customersupport hpidirect. net http //. hpidirect. net Color red - COS1641RD navy - COS1641NV Ladies V-Neck Polo SM-2XL 8. net http //. hpidirect. net Color red - COS1641RD navy - COS1641NV Ladies V-Neck Polo SM-2XL 8. 50 Vests pink - COS1639PK SM-3XL 6. 95 Safety Vest black - COS1639BK Supervisor Vest slate grey - COS1641GY Color orange with stripe - COS7167OR Apron Apron Headwear Cap Color white - COS3146WT Beanie SKU COS1641RD Description Men s Polo EXAMPLE red - COS3146RD royal - COS3146RB Regular Vest black - COS3140BK this form if you will be mailing in an order.

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