Fax or Mail Completed Form To: Argo Marketing Group - allheart

Billing Information: First Name Company Name Street Address

Fax or Mail Completed Form To: Argo Marketing Group | Attn: allheart 64 Lisbon Street | Lewiston, ME 04240 Fax: 844-605-1834

Last Name

Suite/Apt

Shop our complete catalog of Scrubs & Diagnostics online at:

Need Help? Helpful (Human) Support 24/7/365!

Call (800) 372-2201 or E-mail customerservice@

Item Personalization (Optional):

Embroidery & Emblem Personalization:

Item #

Font Thread Style Color

Emblem Name

*Embroidery Side (L or R)

Line 1

Line 2

Line 3

Total Price

City

State

Zip Code

Country

Phone

E-mail Address

...................................................................................

Shipping Information:

Same as Billing

Residence

Business

*L - Left Side of Garment R - Right Side of Garment

Embroidery & Emblems Personalization Subtotal:

Embroidery placement is from the vantage point of person wearing garment. Max 25 Characters per line.

...................................................................................

Engraving Personalization:

First Name

Last Name

Item # Head Personalization Style Head Personalization

Tube Personalization

Total Price

Company Name

Street Address City

State

Zip Code

Suite/Apt Country

Head Personalization Limit 3 Characters. Tube Personalization Limit 19 Characters

Engraving Personalization Subtotal:

Item #

Personalized

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Emb.

Eng.

Item Description

Color Size

Shipping Costs UNITED STATES

Order Amount:

Economy Upgraded Express Premium

$0 - $14.99 $15.00 - $25.99 $26.00 - $49.99 $50.00 - $74.99 $75.00 - $99.99 $100.00 - $149.99 $150.00 - $199.99 $200+

$5 $5 $5 $10 $10 $10 $15 $20 + $5 for every $50 above $249.99

$10.99 $13.99 $17.99 $19.99 $21.99 $23.99 $27.99 $30.99 + $5 for every $50 above $249.99

$20.99 $18.99 $24.99 $25.99 $26.99 $28.99 $32.99 $35.99 + $5 for every $50 above $249.99

$37.99 $38.99 $41.99 $42.99 $43.99 $45.99 $49.99 $52.99 + $5 for every $50 above $249.99

There is a $10 surcharge for deliveries to Alaska and Hawaii. *See FAQ on for details

NOTE: The schedule above is ONLY an estimate, not a guarantee. All shipping is out of Fort Worth, TX.

INTERNATIONAL

Canada*

All Other**

Taxable Amount:

Rate

Rate***

$0 - $14.99 $15.00 - $49.99 $50.00 - $99.99 $100.00 - $149.99 $150.00 - $199.99 $200.00 - $349.99 $350.00 - $499.99 $500.00 - $999.99 $1000.00 & up

$24.99 $29.99 $33.99 $35.99 $39.99 $42.99 $44.99 $70.99 8.0%

$22.49 $31.49 $34.49 $41.49 $45.49 $61.49 $68.49 $75.49 $96.49

*18% Duties & Taxes will be added to your order at the time of purchase. This amount will be shown in the text field on your order confirmation.

**International customers are responsible for paying any additional taxes, duties, or customs fees charged by their local government. Additional shipping charges may also apply in some cases.

***Mexico, Japan, Italy, and Netherlands: Add $6 US Dollars per line plus the rate above.

All Other Countries: Add $10 US Dollars per line plus the rate above.

............

Qty. Price Each

Total Price

Shipping Information:

Shipping Destination: United States International

Shipping Method: Economy 2-Day

Premium Ground Next Day

Subtotal: Embroidery Total:

Engraving Total: Total:

Order Amount Information:

Satisfaction Guaranteed! If you are not completely satisfied with any merchandise you have received, just return it within 30 days of receipt for a full refund or exchange. (Some exceptions apply.) Taxes & Fees: The appropriate taxes & fees will be calculated based on your shipping destination's applicable tax laws.

Gift Certificate Code:

Total: Gift Certificate Value:

Shipping & Handling: Taxes & Fees: Total Due:

Payment Information:

Check* Visa Amex

Money Order*

Master Card Credit Card No.

Discover

/ Exp. Date (MM/YY)

Card ID No.

Check #.

Name on Credit Card

Signature

Date

*Please Note: Check or Money Order: Payable to allheart. A fee will be charged for returned checks. All checks must be drawn from U.S. banks.

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