Wholesale Order Form
Please print this order form, fill out the information
Phone your order in to: PH: 828-396-9970 / Or Fax order form to: 828-396-9970
We Accept: Money Orders, Certified Check, Business Checks, Credit Cards
Make check payable & mail to:
Pnderosa Products, 5791 Rocky Mount Rd., Granite Falls, NC 28630

Shampoo
Put Quantity desire beside each product size you wish to purchase.
(Example: Moisture Blend: 4oz:_2 X$2.80-$5.60     16oz:_4_x$8.40=$33.60)

Silk Blend:  4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

Moisturizing Blend: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

Volume Blend:4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

Puppy Volume Blend: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

White Moisture: 4oz :4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

White Volume: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

White Puppy Silk: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

White Puppy Volume: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____

32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

Total Shampoo cost: $ ____________
Conditioner
Put Quantity desire beside each product size you wish to purchase.
(Example: Moisture Blend: 4oz:_2 X$2.80-$5.60     16oz:_4_x$8.40=$33.60)

Silk Blend:  4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____            Gallon: ___ x $37.80 = $______

Moisturizing Blend: 4oz : ___ x $2.80 = $____     8oz :  ___ x $4.90 = $____   16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____             Gallon: ___ x $37.80 = $______

Volume Blend:4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____   16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____             Gallon: ___ x $37.80 = $______

Puppy Volume Blend: 4oz : ___ x $2.80 = $____     8oz :  ___ x $4.90 = $____   16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____             Gallon: ___ x $37.80 = $______

White Moisture: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

White Puppy Silk: 4oz : ___ x $2.80 = $____      8oz :  ___ x $4.90 = $____       16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____       1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

Silk Reflection Concentrate: 1oz: ___x $1.22= $____       2oz:__x $2.10= $___    4oz : ___ x $2.80 = $____   16oz : ___ x $8.40 = $____    32oz: ___ x $14.00 = $____    1/2 Gallon: ___ x $24.50 = $______     Gallon: ___ x $37.80 = $______

Total Conditioner cost: $ ____________

Total Merchandise Order: $__________
Shipping amount & Additonal Comments in applicable: $________
Free shipping on orders over $200.00

Total Amount enclosed: (Please include shipping) $___________

Ship to:

ADDRESS:

City:

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Credit Card Information: Check one
___Visa,  ___M/C,  ___Amex,  ___Discover		 Account #:
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  ___/___          ____
I authorize this order to be charged to my account by my signature. Name on Card: (Signature)

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