ORDER FORM

Customer Name:

Phone Number:

Contact:

Address:

Fax Number:

P.O. Number:

P.O. Date:

Special Instructions:





Ship To:

Address:

Description

Size

Quantity

Ext. Price

Total Enclosed

Date:

Price

Print Form, Complete Information and Enclose Payment,
Send to: Solarfilmco, P.O. Box 5719, Hilo, HI 96720