*note this document will print best with margins set to 0.75"

FAX TO: 713 524-9728
(all orders must be received by 5pm for next day)
Call us to advise of fax at 713-252-9737
We will return your call to verify your order.
Be sure to give us a phone number or cell number
where you can be reached both before AND after 5pm.

My Name: ___________________________

Today's Date: ________________________

Company:____________________________

I will pick up my order ___________________

Please deliver to: ______________________

____________________________________

I need my order at: ________________sharp

on _______________(day)__________(date).

Call me at 5PM today to confirm my order.

Telephone number_____________________


My credit card number and expiration are:

____________________________________

____________________________________

(required even with cash payment)

Please fax a copy of my bill to:

____________________________________

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