Watkins Customer Order Form
Customer Acc # _________R Name_____________________________________
Address ___________________________________________________________
City ________________________ State/Prov____________ Zip/PC____________
Day Phone (____) ________________ Evening Phone (____) ______________
E-mail: ___________________________________
Ship to address, if different from above.
 Address ___________________________________________________
City ________________________ State ____________ Zip ____________
Article No.
Qty
Description
Price Each
Total
         
         
         
         
         
         
         
         

Shipping and Handling
FREE for orders of $150.00 or more.

Both Canada & US:
$0.00 to $50.00 = $9.95
$50.01 to $100.00 = $12.45
100.01 to $149.99 = $14.45

Note: For shipment to Alaska, Hawaii, Guam, Virgin Islands or Puerto Rico, on orders under $150.00 shipping/handling charge is amount shown above, plus add $1 for each unit ordered that shows the shopping cart icon.

Product Total _________

PST/State tax if applicable __________

Shipping and Handling _________

GST/HST* (Canada) ________

TOTAL _________

Canadian residents *GST is payable on shipping and handling in all provinces. PST is payable on shipping and handling in all provinces except Alberta, NWT, Yukon and Manitoba.

Mail this form with your payment to:

Watkins Inc.
P.O. Box 5570
Winona, MN 55987-0570

Watkins Inc.
277 Hutchings St
Winnipeg, MB R2X 2R4

How You Wish To Pay
( ) Check or Money Order, Payable to Watkins Inc.
( ) Visa ( ) Master Card ( ) Discover ( ) American Express | Card Number: ___________________
Exp. Date_______ Signature: ____________________
Sorry, No C.O.D. orders

Thank You For Your Order!
Your Independent Watkins Associate
Melody Thacker
ID #323239
Call toll free: 1-866-452-6948
for product questions, assistance or to place your order.

Ask me how you can buy your favorite Watkins products wholesale!