B & B Embroidery
16 Milestone Terrace
Williamsport, MD 21795

Fax: 301-582-9939

Ordered by:

Name________________________________ Phone #___________________
Street____________________________ Apt.#__________
City______________________________State__________Zip________


Ship to (only if different from ordered by):

Name_________________________
Street_________________________
City___________________________State___________________Zip_______

Method of payment:

_____Check payable to B & B Enterprises

_____Visa _____Mastercard _____Discover/Novus _____American Express

Credit card # ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Expiration date: ___ ___/___ ___

Signature_________________________________

 
Qty Item # Description Male/Female Color SizePrice EachTotal Price
             
               
               
Merchandise Total 
5% Sales Tax 
Shipping and Handling$5.00
Total Amount Due