To place your order, please click inside one of the text boxes and fill in the information.

After completing your order, at the bottom, click on the submit button and your order will

automatically be emailed to the High Twelve International Office. You will receive confirmation and your order will then be shipped out in approximately 2 days.

If you should have any questions regarding this form or any order, please don't hesitate to contact the International Office at the phone number listed below.

MERCHANDISE

ORDER FORM

CLUB INFORMATION

ORDERED BY:

CLUB NAME

SHIP TO (if different)

NAME, TITLE

NAME

STREET

CLUB NUMBER

STREET

CITY

STATE

ZIP

EMAIL ADDRESS

CITY STATE ZIP

		FOR OFFICE USE
ITEM NUMBER	QTY	QTY SHIP	QTY B/O	U/M	UNIT PRICE	TOTAL	ITEM DESCRIPTION










SALES TAX SCHEDULE:				MERCHANDISE SUB-TOTAL		$	· ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE
FL 6.0% + COUNTY SURTAX IN 6.0%				DISCOUNT		$
				SUB-TOTAL		$	10% DISCOUNT ON ALL ORDERS EXCEEDING $100.00 EXCEPT ON SPECIAL ORDER ITEMS -
				SHIPPING		$	BANNERS, BELLS,PLAQUES, HISTORIES.
				SALES TAX		$
				FL CO. TAX		$
				TOTAL		$

Ordered By:

Daytime Phone Number: