FLAG STORE ORDER FORM

Online Stores, INC: 1000 Westinghouse Drive Suite 1, New Stanton PA 15672

Phone: 724-925-5600 Toll Free 877-734-2458FAX: (253) 498-9284

SHIP TO NAME & COMPANY:ORDERED BY:

ADDRESS:DATE:

CITY:PHONE:

STATE:FAX:

ZIP CODE:EMAIL:

Most items are in stock at all times, in case of shortages (or unusual market demand) please allow 3-4 wks for shipping

ITEM # / DESCRIPTION / SIZE / QTY / PRICE / TOTAL

If using a company purchase order, please fax a copy of the completed PO along with order form. Minimum Purchase $100 PLUS SHIPPING FEE.

Order by Fax (253-498-9284) with Visa, Master Card, AMEX & Discover or email .

Wholesale shipping fees areat cost plus $5.00 handling. Shipping at cost UPS Ground determined by weight and ship to address.

Terms of Sale: All Sales final. No returns accepted. Within 10 days of receiving order, customer is responsible for inspection of merchandise.

Exchanges will be authorized only in the event of receipt of damaged or defective products. To accept terms of this sale, please sign below:

CUSTOMER SIGNATURE______DATE:______

WHOLESALE CUSTOMERS MUST PAY BY CREDIT CARD. ALL WHOLESALE ORDERS MUST BE FAXED TO US (253) 498-9284.

RETAIL CUSTOMERS MUST ADD IN SHIPPING FEES PLEASE SEECHART BELOW FOR SHIPPING COSTS.

BELOW ARE RETAIL SHIPPING FEES ONLY. WHOLESALE SHIPPING IS AT COST UPS GROUND

Order Amount / 0 - $15 / $15 - $40 / $40 - $70 / $70 - $120 / $120 - $160 / $160 - $300 / Over $300
Shipping Cost / $3.95 / $5.95 / $7.95 / $11.95 / $14.95 / $19.95 / $24.95

Method of payments:Send check or money order to Online Stores Inc., 1000 Westinghouse Drive, Suite 1, New Stanton, PA 15672

Credit Cards:

Amex, Master Card, Visa & Discover, enter number:Expiration Date:

Signature (required if using credit card):______TOTAL ORDER AMOUNT______

EIN: 38-3669342Fax order form (253) 498-9284

Thank you for your order, please allow 5-7 days for shipping