Party World and other things
380 Union Street/P.O. Box 1070
West Springfield, Ma  01090-1070
Fax #: 413-734-9666
Tel #: 413-781-2000
Toll Free #: 800-225-4641
New Customer:     Yes       No   (circle)  
Date:______________P.O. Number:_______________ Attention:_________________________________
Business Name:_______________________________
Your Sales Rep
Business Address:_____________________________ Business Contact:__________________________
Phone #:_____________________________________
Name of Person
Fax #:_______________________________________ Placing the Order:__________________________
E-mail:_______________________________________  
BILL TO: SHIP TO (if different from Bill To):
Name of Business:_____________________________ Name of Bussiness:________________________
Street Address:________________________________ Street Address:____________________________
City:_________________________________________ City:_____________________________________
State:______________________  Zip:______________ State:________________  Zip:________________
   
Item Size/Color Description Order Qty. Unit Price Line $ Total
sample 9"/Blue Dinner Plates 5 Each 1.89 9.45
sample Red Latex Balloons 3 144 bag 5.99 17.97
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Please Make Additional Photocopies Of Blank Form for Future Use
Number of pages transmitted including this sheet:__________
INDICATE YOUR METOD OF PAYMENT
Exp. Date:__________

Contact us at: cs@partyworld.net or 413-781-6311 for further assistance. Fax your order to Party World and other things...Fax#  413-734-9666.

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Authorized Signature (as shown on credit card)
Visit us at www.partyworld.net for questions call Toll Free 1-800-225-4641!