4951-G Terminal Street  
Houston, TX 77401  
Toll-free: 800-431-2787  
Tel: 713-838-2233  
Fax: 713-838-7278  
 


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Order Form

This website is for business customers.
All orders are shipped via Fedex Ground, shipping charge is $6.50 or 5% of order value, which ever is higher.

Enter quantities in the forms below:

Drawstring Scrub Sets Style 1020: Reversible 1 Pocket Top & Drawstring Pant Set - $19.99
Everyday Low Price - $14.95
                                XS S M L XL 2XL 3XL 4XL 5XL  
 Ciel Blue                    
 Royal Blue                    
 Navy Blue                    
 Carribean Blue                    
 Misty Green                    
 Jade Green                    
 Teal                    
 Hunter Green                    
 Deep Burgundy                    
 Brick Red                    
 Purple                    
 White                    
 Black                    

Elastic Waist Scrub Sets Style 1022: 3-Pocket Top & Elastic Waist Pant Set - $23.99
Everyday Low Price - $16.99
                                XS S M L XL 2XL 3XL 4XL 5XL  
 Ciel Blue                    
 Royal Blue                    
 Navy Blue                    
 Carribean Blue                    
 Teal                    
 Hunter Green                    
 Deep Burgundy                    
 Purple                    
 White                    
 Black                    

Lab Coats Styles 2010, 2020, 2040 - $22.99
Everyday Low Price - $14.95
                                      XS S M L XL 2XL 3XL 4XL 5XL  
 2010 - Unisex Coat                    
 2020 - Ladies Style                    
 2040 - Men’s Style                    

Patient Gowns Style 2100 - One Size Only $3.95 each
                             

All pricing is for sizes XS-XL, size 2XL add $2, size 3XL add $3, size 4XL add $4, size 5XL add $5. Orders received before 12 noon Central Standard Time are shipped out same day.

Assigned Customer Number (if any)
Method of Payment
Visa MasterCard Discover American Express
Card Number   Expiration (mm/yy)

Name on Card
First M. I. Last

Billing Address for Card
City   State Zip

Shipping Address (no P.O Boxes)  
City   State Zip
Company Name (if applicable)  
Telephone Number Email

Comments / Embroidery Instructions




 
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