Your Name:__________________________________________

Shipping Address:___________________________________________
(No PO Box, please)

City: __________________________State: _____ZipCode: _________

Phone (days):____________________________

Phone (eves):____________________________

Credit Card #:____________________________Exp. Date:_________

Signature:______________________________________________
ID # 7300-071    -   Your Distributor:  Bess W Metcalf

Please send free Fuller Brush Catalog:  ___  or  Stanley Catalog: ___   (Select 1)

Item No. Qty: Description: Price ea. Total
         
         
         
         
         
         
         
         
         
         
Handling Charge:    

    $ 7.95 flat fee.

(Call for charges for Hawaii, Alaska and Canada.)
Merchandise total  
Handling from chart

7.95
Merchandise Subtotal  
Sales tax on subtotal  
Total Amount Due  
Sales Tax Policy:    Since we have a business presence in all states, we are required by law to collect sales tax for every state.  Need help finding your area's sales tax?   Just call us at: 1-800-522-0499.

Make checks payable to:  The Fuller Brush Company
                                                   PO Box 1247
                                                   Great Bend, KS 67530-1247