WHOLESALE
ORDER FORM      

FAX TO: 1 (404) 795-8980   

OR EMAIL:
   

OR MAIL TO:
STRATUS
3005 SEVEN PINES LANE #101
ATLANTA, GA 30339

BILLING INFO

Company:

Contact:

Address: 

         

City: 

State: 

ZIP code: 

Phone: 

Fax: 

email: 

SHIPPING INFO (IF DIFFERENT)

Company:

Contact:

Address: 

City: 

State: 

ZIP code: 

Phone: 

Fax: 

email: 

METHOD OF PAYMENT:   Visa     MasterCard     Discover
     AmericanExpress      Check     MoneyOrder     Other
CREDIT CARD #:
 EXP DATE:
 NAME ON CARD:
SIGNATURE:
PRICE    

QTY
(minimum 5)

AMOUNT
TRAILSTOVE (# 676915-00201-1)         $16.00

Shipping & Handling*

TOTAL

*To find out your S&H charge, enter your order into our shopping cart 
and copy the amount to the S&H box, or contact us and ask us.

Terms with approved credit: Net 30 days

Make checks payable to "Stratus".
For faster service, email the information on this form to .
Please double check all the information before you send it in.
If you are not able to print you may copy the information from this form to a blank sheet of paper and send it in.
Thank you for your order.