From:       Santa Maria Discount Luggage                               Date:
                125-F  E. Betteravia Rd
                Santa Maria, CA  93454                                Fax # 805-928-8392
 
Ship To: 
 
 
 
 
Manufacturer Line Name Description Color Quantity Price
           
           
           
           
           
           
                                                                                     Sub Total  
                                                                                     Tax if in CA  
                                                                                     Shipping  
                                                                                     Total  
Credit Card Expeiration Date:
Name on Card:
Phone#: Fax#:
Coments: