Firesteed - Merchandise Order Form

Order Form

Quantity	Item	Circle Size	Cost/Each	Total Cost
	Firesteed denim shirt	S M L XL	$60	$
	Ramlosa khaki shirt	S M L XL	$60	$
	Firesteed green golf shirt	S M L XL	$50	$
	Firesteed plum gold shirt	S M L XL	$50	$
	Ramlosa navy golf shirt	S M L XL	$50	$
	Ramlosa white golf shirt	S M L XL	$50	$
	Firesteed moss suede cap	(one size)	$40	$
	Firesteed canvas/leather brim cap	(one size)	$35	$
	Ramlosa navy cotton cap	(one size)	$15	$
	Ramlosa natural cotton cap	(one size)	$15	$
	Ramlosa 8 oz. glasses	pkg of 6	$10	$
	Ramlosa insulated coolers	-	$20	$

	Merchandise Total			$
	Shipping included!			$ 0
	Current Distributor 40% discount^*
	WA State 8.6% sales tax^**			$
	Total Enclosed			$

* Discount only to authorized distributors of Firesteed and Ramlosa Products.
** Due on all retail orders only. Does not apply to Firesteed or Ramlosa distributors.

We also have quantities of Ramlosa notepads, table tents, pens and coasters, available at no charge to distributors. Contact us directly for more information.

Ship To:

Name:	_____________________________________________
Company:	_____________________________________________
Address:	_____________________________________________
	_____________________________________________
Telephone:	_____________________________________________

Print this page and fax or mail to:

Merchandise Orders
Firesteed Corporation
1809 7th Avenue, Suite 1108
Seattle, WA 98101

Fax: 206-292-2780

Questions? Call 206-233-0683

Orders must be accompanied by a check, money order, or purchase order number for the full amount due. Orders will be processed and shipped within one week.