Air-Filled Tips

Haggen Order Form (Please make additional copies for future use.) USE BLUE OR BLACK INK WHEN COMPLETING THIS FORM.

Item # Qty

Description

Pieces

Del.

Order

Included Cost

4909136 4909136G 4909036 4909036G 7859326 7859326G 7859426 7859426G 7859526 7859526G 7859626 7859626G 7859726 7859726G 7859826 7859826G 7859926 7859926G 7860026 7860026G 7860126 7860126G 7860226 7860226G 9741203

PHR 39" *PKG* PARTY SILVER SCRIPT PHR 39" *PKG* PARTY GOLD SCRIPT PHR 35" *PKG* YAY SILVER SCRIPT PHR 35" *PKG* YAY GOLD SCRIPT NUM 25" *PKG* STANDUPS 0 SILVER NUM 25" *PKG* STANDUPS 0 GOLD NUM 25" *PKG* STANDUPS 1 SILVER NUM 25" *PKG* STANDUPS 1 GOLD NUM 25" *PKG* STANDUPS 2 SILVER NUM 25" *PKG* STANDUPS 2 GOLD NUM 25" *PKG* STANDUPS 3 SILVER NUM 25" *PKG* STANDUPS 3 GOLD NUM 25" *PKG* STANDUPS 4 SILVER NUM 25" *PKG* STANDUPS 4 GOLD NUM 25" *PKG* STANDUPS 5 SILVER NUM 25" *PKG* STANDUPS 5 GOLD NUM 25" *PKG* STANDUPS 6 SILVER NUM 25" *PKG* STANDUPS 6 GOLD NUM 25" *PKG* STANDUPS 7 SILVER NUM 25" *PKG* STANDUPS 7 GOLD NUM 25" *PKG* STANDUPS 8 SILVER NUM 25" *PKG* STANDUPS 8 GOLD NUM 25" *PKG* STANDUPS 9 SILVER NUM 25" *PKG* STANDUPS 9 GOLD BALLOON YARD STAKE KIT WEIGHT SILVER FOIL COVERED INF QUALATEX HAND INFLATOR INF MINI COOL AIRE DUAL PRO FLORAL SUREBONDER GLUE SKILLET FLORAL OASIS HOT MELT GLUE PILLOWS

5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 1 1 1 1

3.50 3.50 3.50 3.50 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39 4.39

18.86 11.04

14778 HI795 831 803 01560

12

7.33

215.80

50.90 11.05

Fax 800-880-9759

Store # __________________________ Name ___________________________

Phone ___________________________ City, State _______________________ ZIP______________________________

C4172_2022

2