Landerwood Order Form | Mail in orFax to: (704) 523-0884 | Order Date___________
Code Number: 1714

Ordered by:
Print Full Name_______________________________

Street________________________________________

City________________________________State_________

Zip_____________Phone( )_____________________

Airline / Company____________________Base_______

Ship to: (if different address)
Name__________________________________________

Street_______________________________________

City______________________State______

Zip_________________Phone( ) _________________

Title / Position_______________________

How Many	Item No.	Description	Size Neck/Sleeve	Color	Price Each	Total
				White


Cotton Lisle Crew Socks (no. of packages of 3 each.)					$17.95
Merino Crew Wool Socks (no. of packages of 3 each.)					$19.95
Add 7% sales tax on merchandise delivered in North Carolina
Shipping 9.95
Total

Method of Payment

____Check or Money Order Payable to LANDERWOOD CORP.

___VISA ____Mastercard

**Credit Card Number**

**Expiration Date**

Call regarding ladies shirts

________________________________
Card Holder Name (print)

_________________________________
Card Holder Signature

Please have your Mastercard or VISA card with expiration
date and completed form readywhen phoning. Thanks!

Sizes

15 1/2

16 1/2

17 1/2

18 1/2

19 1/2

Prices

Style
#100

32,33,
34

32,33
34,35

32,33
34,35,36

33,34
35,36

35,36

$34.95

Style
#400

32,33,
34

32,33
34,35

32,33
34,35,36

33,34
35,36

35,36

$34.95

Style
#200

$32.95

Style
#300

$32.95

Style
#700

$32.95

Style #700
Short Sleeve
Straight Collar
Atheletic Cut
4 Inch Taper

Landerwood Corporation
4108 Park Road
Suite 205
Charlotte, NC 28209

Toll Free Orderline
1-888-523-4474
Local: 704/523-4474
Mon-Fri 9:00am - 4:30pm Eastern Time