Print out this order form and mail it in, along with your payment.  Instruct your printer to print 1st page only.
                                      FLUORESCENT WORKS' ORDER FORM

      Customer satisfaction is our top priority at Fluorescent Works!  We will exchange or issue a full refund on merchandise mailed back to us or returned within 30 days of delivery.  We use only brand name T-shirts and sweatshirts to help insure that our customers will have long-wearing apparel.  However, please understand that we are not responsible for wear and tear.  Also, please allow up to three weeks for delivery.


                    Item #            Description                  size          color        unit price       quantity         total

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

                      _______     _____________________     ______     _________    __________       _______      ___________

I
f your order is for 3 or more items, please see our shipping rate chart.
                             Sales Tax
                                                                                                                                    
Subtotal $__________ 
Residents of Colorado Springs -   subtotal x .064                                                          
Residents of El Paso county -       subtotal x .049                                                   
Sales Tax $__________
Residents of Colorado -                subtotal x .039                                 

Add $3.30 per item for delivery within the contiguous USA and $6.60 per item for        
Shipping $ _________
international shipping.  For Alaska, Hawaii, Puerto Rico, Bahamas, Bermuda,
Canada and Mexico, add $4.95 per item.
Please return this page with your payment to: Fluorescent Works                         
                                                                       2905 Sage Street #3                  
Grand Total $ _________
Phone # (719) 527-0808               Colorado Springs, CO.  80907-5863  U.S.A.
e-mail:
CustomerService@FluorescentWorks.com 
                  
Payment and Shipping Instructions - Make checks payable to Fluorescent Works   

                ______check, cashier's check or money order enclosed        ____ Visa or  ____MasterCard      

Visa / MasterCard number:
  __  __  __  __ - __  __  __  __- __  __  __  __- __  __  __  __  Expiration Date: _____/_____ 
Discover                                                                                                                               (month 00/year 00)
                         Your phone #_______________________   Your e-mail address________________________
Full name (as it appears on check
or credit card) and address:                      Shipping  address, if  different:                 Special Instructions

____________________________       ____________________________     ____________________________
     
____________________________       ____________________________     ____________________________
 
____________________________       ____________________________     ____________________________

THANK YOU FOR YOUR ORDER.  PLEASE ALLOW UP TO THREE WEEKS FOR DELIVERY
.    Print 1st page only.