Wholesale 2 1/4" Badge Order Form / Invoice           

Quantity of 2 1/4” Badges Ordered:

_____ Badges @ $.85 each =$______________ (1 to 24)

_____ Badges @ $.80 each =$______________ (25 to 99)

_____ Badges @ $.78 each =$______________ (100 to 249)

_____ Badges @ $.75 each =$______________ (249 +)

USPS Priority Mail Shipping, Handling and Insurance:

Add $8 for up to 24 Badges
Add $9.50 for up to 50 Badges
Add $12.50 for up to 100 Badges
Add $14.50 for up to 150 Badges
Add $16.50 for up to 200 Badges
Add $18 for up to 250 Badges
Add $19.50 for up to 300 Badges
Add $21 for up to 400 Badges
Add $22.50 for up to 500 Badges

Total: ______ COD ______ 30 days  $ __________ + $ _______(S&H&I) = $ ___________

Sold to:                                                              Ship to:  _____same
Name: ____________________________       Name: ______________________________

Address: ___________________________      Address: ____________________________

City: __________________ State: ________    City: __________________ State: ________

Zip: ___________ Phone: _______________    Zip: __________ Phone: _______________

Signature: ___________________________ Title: __________________ Date: __________

Orders may be Faxed or sent by electronic mail or by US Mail.
Delinquency Charge is 1 ½% per month on all past due balances. Returned Check Fee is $30.

Send Payment to:  Roadhouse 66       P.O. Box 1995       Westerville, Ohio      43086-1995
www.roadhouse66.com   dave@roadhouse66.com  Phone: 614-989-4515  Fax: 614-890-3863