| Home Mailing Address | Ship-To Address |
|---|---|
| Name: | |
| Street Address: | |
| City: | |
| State: | |
| Zip Code: | |
| Home ph: | Work ph: |
| Fax ph: | Email: |
| Credit Card #: | Exp. Date: |
| Name on the Credit Card: | |
| Credit Card Billing Address (If different from above): | |
| Personal information (Please complete to insure proper fit): | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Height | Weight | Chest | Neck | Waist | Inseam | Sleeve | Shoe | Glove Size | Hat Size |
| Product Information | ||||
|---|---|---|---|---|
| Description (Please specify service; IE Army, USMC, USN, AAF, etc) | Size | Qty | Price Ea. | Extension |
| Refunds will be paid less S&H charges. Please read Care Instructions and refund policy. Please allow 2 weeks for delivery. Items returned must be in new condition. No refunds or exchanges on washed garments or worn boots, no exceptions. Custom or special orders may require longer delivery periods. CA residents must include 9.25% sales tax. | Subtotal | |||
| Sales tax | ||||
| S&H | ||||
| Total | ||||