Fuller Direct Order Form      Wynn Distributing, Independent Distributor ID# 9810268

ITEM # QTY. DESCRIPTION $ EACH TOTAL
Merchandise Total =
Handling (from chart) =
Subtotal =
Sales Tax on Subtotal =
Order Total =

Handling Charges

   $0 - $24.99.....$3.95
  $25 - $49.99.....$4.95
  $50 and up......$5.95

Sales Tax Information
Since we have a business presence in all states, we are required by law to collect sales tax for every state.  Need help finding your state's sales tax?  Please call us at 
1-800-522-0024.
 Service area limited to the 48 contiguous Unites States
Customer Shipping Information
Distributor Name:  Wynn Distributing
Distributor ID #:  98-10268
    Name: 
  Address:
Please provide street address, as delivery is by UPS
        City:
     State: Zip Code:
Telephone:
Payable to: The Fuller Brush Company
Payment Method 

Visa 
Master Card 
Discover 

Check/Money Order

Credit Card Number:
         Expiration Date:

Signature: __________________________

     As soon as orders are received, processing begins. Orders paid by personal check will be shipped after the check clears (approximately 14 days). We want you to receive your order as quickly as possible, so sometimes your order may arrive in  separate shipments. We ship only within the 48 contiguous states.
Mail Orders To:
The Fuller Brush Company
Fuller Direct P.O. BOX 1247
One Fuller Way
Great Bends, Kansas 67530-1247

Customer Service:1-800-522-0024     Phone Orders: 1-800-522-0499    By Fax:1-620-793-4523 
Please use our distributor ID# 98-10268 when ordering so we will get credited for the sale. Thank you for your order!

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