NAWGJ ORDER FORM
 

CUSTOMER NAME

                                                     

NAWGJ MEMBERSHIP #

                                                     

ADDRESS

                                                     

CITY

                                                     

STATE                ZIP               

PHONE

                           

SHIP TO THE 
ATTENTION OF:

                                                       

MIDWAY UNIFORMS, INC
1625 University Avenue
St. Paul, MN  55104
(651) 644-1773 
(651) 644-2439 FAX

  
  

QTY

STYLE NO.

COLOR

SIZE

DESCRIPTION

PRICE EACH

TOTAL PRICE

 

 

ED 6680-07

NAVY

 

FITTED 1 BUTTON COAT SIZE 4-28

$112.00

 

 

H9500 SANDY

NAVY

 

BOX CUT 1 BUTTON COAT SIZE 2-24

$112.00

 

 

 

 

 

 

 

 

 

H9500 TINA

NAVY

 

STRAIGHT SKIRT SIZE 4-24

$55.00

 

 

 

 

 

 

 

 

 

ELASTIC ADDED TO THE WAISTBANDS OF SKIRTS

NO CHARGE

 

 

 

 

 

 

 

 

ED 8680-07

NAVY

 

LADIES PLEATED PANT SIZE 4-28

$55.00

 

 

 

 

 

 

 

 

 

ED 3680-07

NAVY

 

MENS COAT SIZE 35-54

$127.00

 

 

ED 2780-07

NAVY

 

MENS PLAIN PANT SIZE 28-54

$55.00

 

 

ED 2680-07

NAVY

 

MENS PLEATED PANT SIZE 28-54

$55.00

 

 

 

 

 

 

 

 

 

NAWGJ

 

 

SURCHARGE PER ITEM

$2.50

 

 

 

 

 

MERCHANDISE SUBTOTAL

 

 

 

 

 

 

IF COD (ADD $5.00)

 

 

 

 

 

 

*SHIPPING AND HANDLING

 

 

 

 

 

 

TOTAL AMOUNT

 

 

   

 

SHIPPING AND HANDLING CHARGES

RUSH DELIVERY CHARGES

REGULAR UPS GROUND

Up to $100............$6.50

3RD DAY............$15

$101-$200............$8.00

2ND DAY............$22

$200-$350............$9.50

OVERNIGHT........$30

   
   

PLEASE CHECK YOUR METHOD OF PAYMENT

       

FULL PAYMENT ENCLOSED - CHECK OR MONEY ORDER
MAKE CHECK PAYABLE OT MIDWAY UNIFORM, INC.

       

COD - PLEASE INCLUDE 25% DEPOSIT. (ALL COD CHARGES INCLUDED IN TOTAL BILL)

       

MASTERCARD #                                                     EXP                  

       

VISA #                                                                EXP                  

       

DISCOVER #                                                         EXP                  

   

  

CARD HOLDER'S SIGNATURE