BIG AGNES EMPLOYEE ORDER FORM

Offer valid 2008

10% off wholesale

·  The Employee purchase program is for store employees only. It is not for friends, family or resale.

·  Fill out form completely and fax order to 970-879-8038. All information and signatures are required.

·  Orders filled based on product availability. You will be notified by email if your order can not be filled.

·  Call 877-554-8975 or check www.bigagnes.com for product availability.

·  All orders must be prepaid with Visa, MC, AMEX or Discover.

·  Invalid or declined credit cards will result in order cancellation You will be notified by email if your order is cancelled.

·  For orders shipped outside the USA, actual shipping costs will be applied.

·  Orders will be shipped via FedEx ground. Allow 2 weeks for delivery.

·  Taxes apply in Colorado.

Manager’s Signature: ______

Store Name: ______Store City & State: ______

Employee Name:______

Email:______Tel:______

Credit Card:______Exp:______

Employee/Card holder signature:______

Credit Card Billing Address:______

______

Store Shipping Address: (all orders shipped to store location only) ______

______

______

Description / Zipper / Size / Qty / Cost / 10% Disc / Emp Cost
Big Agnes, Inc.
PO Box 773072 – 735 Oak St. Steamboat Springs, CO 80477
Tel: 970-871-1480 Toll Free: 877-554-8975 Fax: 970-879-8038
Email: www.bigagnes.com / Subtotal:
Tax: (2.9% in CO)
Shipping:
$8: order <$100. $14: order >$100
Outside USA: actual costs apply
Total: