Company
Contact Name
Address
City
State/Province
Zip/Postal
Zip/Postal Code
Phone
Fax
Email
I would like to place an order for the following accessories:
QTY
Description
Unit Price
Fan system
$295.00
Cool U Vest
$150.00
Battery
$85.00
Carry Bag
$100.00
Charger
$125.00
Cool Inserts
$100.00/set
Kool Kollar
$30.00
Ship Case
$395.00
Total
$
Please call for quotations for any costume components, cresting, or special requests
Payment Method: Invoice OR Credit Card
Card #
Shipping charges determined prior to shipment. Customer to approve the shipping rate.
Desired Delivery : Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2004 2005 2006 2007 2008 2009
Expiry
Name on Card:
PRINT OUT THIS COMPLETED FORM AND FAX TO (780) 469-2133 FOR ADDITIONAL INFORMATION PLEASE CALL OUR TOLL FREE NUMBER AT (866) 969-2440
Also see:Costume Management Services | Cleaning and Repair
