ORDER FORM Aggro Pacific Hawaii A division of Aggro Pacific Order Line : (808) 488-6602 DATE: 98-021 Kam.Hwy.#333 Aiea, HI 96701 E-mail: Start Ship: Cancel Ship: Terms Sales Rep: BILL TO: SHIP TO: Name Printed on Card Deposit Amount $ Charge PHONE: Credit Card Number# Exp Date Visa ◘ EMAIL: SIGN: Date Master Card ◘ “I Authorized Aggro Pacific to charge the above named credit card for all service /products rendered” INFANT A 6M 12M 18M 24M NOTES: TODDLER B 2T 3T 4T 4 5 6 6X GIRLS C 4 5 6 6X BOYS D 4 5 6 7 QTY UNIT TOTAL PRICE GIRLS/BOYS E 7 8 10 12 14 PAGE STYLE ITEM NAME PRINT / COLOR SCREEN TOTAL AS
Aggro Pacific Hawaii A division of Aggro Pacific ORDER FORM Order Line : (808) 488-6602 98-021 Kam.Hwy.#333 Aiea, HI 96701 DATE: Start Ship: Cancel Ship: Terms Sales Rep: E-mail: BILL TO: SHIP TO: Name Printed on Card Deposit Amount Charge $ PHONE: Credit Card Number# Exp Date EMAIL: SIGN: Date “I Authorized Aggro Pacific to charge the above named credit card for all service /products rendered” ◘ Visa ◘ Master Card NOTES: INFANT A 6M 12M 18M 24M TODDLER B 2T 3T 4T 4 5 6 6X GIRLS C 4 5 6 6X BOYS D 4 5 6 7 QTY UNIT PRICE TOTAL GIRLS/BOYS E 7 8 10 12 14 PAGE STYLE ITEM NAME PRINT / COLOR SCREEN AS TOTAL
FORM_ORDER_CNR_KIDS.docx