Belts, Order Form
On Line Associates Inc. Dept Belts, PO Box 358 Hicksville NY 11802-0358
Use your browsers print button to print this form; and mail it to the above address.
If form prints on more than one page, be sure to put your name on each sheet!
Please allow 4-5 weeks for delivery

Item	Quantity	Description	Price	Total
101		Fun Belt: Red/Green/Black with verticle stripes	$6
102		Fun Belt: Red/Green/Black/Blue with star design	$6
103		Fun Belt: Red/Green/Red horizontal design	$6
104		Fun Belt: Green/Dark Red, green horizontal design	$6
105		Fun Belt: Green/Black/Red vertical design	$6
106		Fun Belt: Blue/Red/Yellow boxes- red/blue back	$6
107		Fun Belt: Red Edges with Blue/Green stripes	$6
W201		Sports Belt: Red	$6
W202		Sports Belt: Maroon (note-picture color not acurate)	$6
W203		Sports Belt: Buff	$6
W204		Sports Belt: Khaki	$6
W205		Sports Belt: Grey	$6
W206		Sports Belt: Black	$6
W207		Sports Belt: Brown	$6
W208		Sports Belt: White	$6
C301		Camouflage Belt: Light brown/Brown	$6
C302		Camouflage Belt: Dark Green/Brown	$6
C303		Camouflage Belt: Grey/Green/Brown	$6

Total Merchandise: (Prior to Discounts)	$
Discount if over 8 belts are ordered (prior to 12/31/01) (number of belts x $1.00)	$ (-       .    )
Total Merchandise: (After discounts)	$
Shipping and Handling: $0.75 per belt (number of belts x 0.75)	$
Subtotal:	$
Sales Tax:                (NYS residents please add 8.5 percent sales tax)	$
Total	$

Purchased by:	Ship to:
Name:	Name:
Address:	Address:
City:                        State:           Zip:	City:                     State:          Zip:
Phone:	Phone:

Please make sure your check or money order, made out to Online Associates Inc. is enclosed!

E-mail address	How did you find our site?

Camouflage Belts

Sports and Casual Belts

Fun Belts