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Customer Order Form
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Please print this form (Press "Control-P") fill out NEATLY and completely for quicker service.
If you cannot print this form, please try to handwrite the basic info and enclose with your payment.
Upon reciept of your payment the product(s) will be mailed to the address you specify below.
Sold To:    __________________________ Ship To:  __________________________
Address   :__________________________ Address: __________________________
City:   _____________________________
State: _______________  Zip:__________		 City:  _____________________________
State:  __________________Zip:_______
Phone#: (_____) _____________________ Phone#: (_____) _____________________
Fax#:  (_____) ______________________ FAX#: (_____) ______________________
   E-Mail Address: __________________________________________________________
          Item#       Quantity     Description     Price@Each          Total
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Special Instructions:_________________________________________________________________
Payment Information
         Check#______________________________

         Money Order#_________________________

 Please make sure you add the shipping charges to your purchase.
                               Subtotal: ___________
              Shipping Charge: ___________
                      See Shipping Rates Chart
                               TOTAL: ___________

THANK YOU FOR YOUR ORDER!
Payment methods: Personal Checks, Cashiers Check, or Money Orders...US Funds only please!
PAYEE NAME: Make Payment to; JWOC

MAILING ADDRESS
JWOC
P.O. Box 2712
Ponte Vedra Beach, Florida 32004

DISCLAIMER: IT IS THE RESPONSIBILITY OF THE BUYER AND NOT JOIN THE WAR ON CRIME TO ASCERTAIN  AND OBEY ALL APPLICABLE LAWS IN REGARD TO THE POSSESION AND USE OF OUR PRODUCTS.
"ABSOLUTLEY NO SALES TO MINORS"
BY PLACING AN ORDER, THE BUYER REPRESENTS THAT ALL PRODUCTS PURCHASED WILL BE USED IN A LAWFUL MANNER AND THAT HE/SHE  IS OF LEGAL AGE.   PLEASE INITIAL HERE:_____________