Order Form

Bugler Sales Corp
969 Church St. � Baldwin, NY 11510

Date:
P. O. Number:

Customer Name:

Ordered By:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Product ID#	DESCRIPTION	QTY	COST	TOTAL

CREDIT CARD INFORMATION
Name on Credit Card:
Select Type of Credit Card:
Credit Card Number:

Sub-Total
Shipping (If Applicable)
NYS Tax (If Applicable)
TOTAL COST

Please note: if sales tax and/or shipping cost are required, please add such to the order form.

ALL RETURNS SUBJECT TO A 15% HANDLING CHARGE
ALL CLAIMS MUST BE MADE WITHIN 5 DAYS AFTER RECEIPT OF GOODS. NO MDSE. ACCEPTED FOR RETURN WITHOUT OUR AUTHORIZATION