Catalog Item Order Form
For all those items you would like to order from our catalogs!

I would like to request the following item(s): Qty      Item #      Price  Qty      Item #      Price  Qty      Item #      Price  Qty      Item #      Price  Promotional Code: (If applicable)
First Name:
Last Name:
Company:
Address 1:
Address 2:
City/State/ZIP:
Phone Number:
Email:
Payment Meathod: (Choose One)  ------------------- Check Money Order Discover MasterCard Visa
Optional Additional Instructions:
We will contact you within 24-48 hours to collect your payment information. If you are paying by Check or Money Order, submit this form and make Payable to: Specialty Merchandise P.O. Box 513 Eden Valley, MN 55329-0513 We will process your order as soon as we receive payment.

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