Please mail this form to:
The Walker's Warehouse
304 Tequesta Dr. - Dept. 100
Tequesta, FL 33469-3025
Our Hours:
Sales: 24 Hours a day, 7 days a week
Customer Service: Mon-Fri, 9am - 6pm 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 1-561-745-4454)
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 (     )__________________
 
Is this a Gift? If yes, please write message below
(Only applicable with gift wrap service - see below)
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
(Visa, Mastercard, Discover & Amer. Express)

                               
Credit Card Account Number
       
Expiration Date

________________________________________________
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% sales tax  
  
Shipping & Handling
based on total price
of items purchased.
Canadian Orders: $18.00 Flat Fee
Note: Canadian orders sent by U.S Priority Mail or FedEx Ground. Sorry no PO Boxes. Express Shipments not available. Reciever responsible for GST Taxes and other Customs Fees.
Up to $24.95 $5.95
$25.00 to $49.99 $7.95
$50.00 to $74.99 $9.95
$75.00 to $99.99 $10.95
$100 to $149.99 $12.95
$150 to $199.99 $14.95
$200.00+ $16.95
 

Express Delivery*
*Not avail. in AK & HI
2nd Day Air add $10.00
Next Day Air add $16.00
(Please allow 24-48 hours to process order)		  
Gift Wrap: Add $5.00
  
Thank You For Your Order! - Total Charges