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Dignity, Privacy & Comfort!
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How to Order
Call toll-free 1-877-932-3726
or
Fax your order form to
1-505-892-6132.
Feel free to e-mail inquiries to information@weberwear.com.
To place order by fax, print this page and fill out credit card and shipping information. select the garments you wish to order and write them on the printed form. Then fax the pages to the number above.| Quantity | Size |
Garment & Price |
| ________ | ______________________ | ________________________________________ |
| ________ | ______________________ | ________________________________________ |
| ________ | ______________________ | ________________________________________ |
| ________ | ______________________ | ________________________________________ |
| ________ | ______________________ | ________________________________________ |
Rush Orders Add $10.
Stay tuned new products are on the way!
Made in USA
| Shipping Charges: | U.S. Priority Mail |
| Up to $25 order | $8.95 |
| 25$ to $50 order | $9.95 |
| $50 to $75 order | $11.50 |
| $75 to $100 order | $13.95 |
| Orders over $100 | Actual Shipping Cost |
| Billing Information |
| Credit Card Number: ________ ________ ________ ________ |
| Expiration Date: ___________ |
| Signature: _______________________________ Date: ________________ |
| Card Type (circle one): MC Visa Discover American Express |
| Billing Name: _________________________________ |
| Street Address: _________________________________ |
| City, State, Zip: _________________________________ |
| Daytime Phone Number: _____________________________ |
| E-mail address: _____________________________ |
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| Shipping Information (if different from above) |
| Shipping Name: _________________________________ |
| Street Address: _________________________________ |
| City, State, Zip: _________________________________ |