FAX ORDER FORM

SOUTH PADRE ISLAND NETS, INC.
2001 Amistad Drive - San Benito, TX 78586
Phone # : 866-243-6387 - Fax #: 866-421-9691
 
Date:
 
 
SOLD TO
NAME:   
ADDRESS:   
CITY:
 
STATE:  
ZIP:  
(AREA CODE) PHONE #:  
PURCHASE ORDER #:  
 
 
SHIP TO
NAME:  
ADDRESS:  
CITY:
 
STATE:  
ZIP:  
(AREA CODE) PHONE #:  
 
 
STOCK # QTY ITEM DESCRIPTION (SIZE, COLOR) UNIT PRICE
       
       
       
       
 
 
METHOD OF PAYMENT

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