Ouchie Cap - Wholesale - Order Form
Questions? PHONE: 716-984-6621 EMAIL: tim@ouchiecap.com
Company Name *
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Your Name *
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Your Email Address *
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Your Phone Number *
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Order Selection *
QTY: 12-72 $9.25 QTY: 84-468 $9.00 QTY: 480 (half pallet) $8.75 QTY 960 (pallet) $8.50
Required
Quantity *
Minimum Order Quantity is 12
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Payment Method *
Checks Payable To: Ouchie Cap 1271 Rice Road Suite 1 Elma NY 14059
Credit Card Type
if paying by credit
Credit Card Number
If paying by credit
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Expiration Date
MM / YY
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3 Digit Verification Code
Found on back of card
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PayPal Email Address
Email address for us to send invoice
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Ship To Address *
Include any special instructions if applicable.
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