Please mail this form to:
The Walker's Warehouse
3900 Fiscal Court
Suite 400
W. Palm Beach, FL 33404-1726
Our Hours:
Sales: 24 Hours a day, 7 days a week
Customer Service: Mon-Fri, 9am - 5pm EST
1 CALL US TOLL FREE 1-888-972-9255

2 VISIT WWW.WALKERSWAREHOUSE.COM
FOR SECURE ONLINE ORDERING

3 MAIL US THIS COMPLETED FORM
(OR FAX IT TO US AT 1-561-745-4023)
Ordered By:


Name ___________________________________________

Address _________________________________________

________________________________________________

City _________________ State __________ Zip ________
 
Different ship-to-address: Please fill in below if address is different than "Ordered By"
Name ___________________________________________

Address _________________________________________

City _________________ State __________ Zip ________

Phone (     )__________________
Phone number with area code(Your phone number will never be released to a third party)
Email:____________________________ Day: (     )____________________________
Item No.
Description
Size
Qty
1st Color Choice
2nd Color Choice*
Price
Total
               
               
               
               
               
I want to join the VIP Shopping Club & Save 5% on this order & future orders
(circle one) Only $20/year. Free Gift Upon Joining.
 Y/N
  
* A substitute color choice helps prevent order delays. Leave blank if necessary. 
Don't Forget...VIP Members Get an Instant 5% Discount on Every Order. Go online for more info
Payment:
 
Check or Money Order Enclosed
(Please allow 12 days to process checks)
 
 
Credit Card
(Circle One-Visa, Mastercard, Discover & Amer. Express)

                               
Credit Card Account Number
       
Expiration Date
       
Security Code

________________________________________________
Cardholder's Billing Address (if different from above)

_____________________________
Cardholder's Signature

_________________________________________________
City                                   State               Zip Code
Total price of Items 
  
VIP CLUB MEMBERS: Take 5% Off your order
  New Members, please include VIP purchase with order.
Not sure if you're a member yet, please call.
  
VIP CLUB MEMBERS: Apply Applicable Bonus Bucks? 
Y/N
Sub-Total 
  
Florida residents add 6.5% sales tax  
  
Shipping & Handling
based on total price
of items purchased.
Up to $49.99 $7.95
$50.00 to $59.99 $8.95
$60.00 to $99.99 $10.95
$100.00 to $128.99 $11.95
$129.00+ FREE
 

Express Delivery*
*Not avail. in AK & HI
2nd Day Air add $45.00
3rd Day Air add $39.00
(Please allow 24-48 hours to process order)		  
Thank You For Your Order! - Total Charges