Pre-order Form VIM & VIGR Fall/Winter Effective Date: June 13, 2017 (prices are subject to change)
2814 Brooks St. Suite 238, Missoula, MT 59801 Phone: 406-493-6131 Email:
[email protected]
Sales Rep:
Fax: 406-258-0378
Date:
Trade Show:
Bill to:
Ship to:
City/State:
Company:
Contact Email:
Contact: Order Type: REORDER
/ NEW INITIAL ORDER
FOR INTERNAL USE ONLY: Forms on file Style #
Phone: 406-493-6131
Color
Ship Date:
Description
Fabric
Cancel Date:
PO#:
☐ New Retailer Application ☐ U.S. Terms & Conditions ☐ Credit Card Authorization Form ☐ Credit Terms Application Form S
M
L
Wide
Whlsle
MSRP
Total
Women's Collection (15-20 mmHg) V024
0245C
Cotton
Overlapping Diamonds: Lt Grey/Plum
$ 16.48
$ 32.95
V024
0246C
Cotton
Overlapping Diamonds: Raspberry/ Grey
$ 16.48
$ 32.95
V010
0105C
Cotton
Polka Dots: Orange/Cobalt
$ 16.48
$ 32.95
V009
0097N
Nylon
Nautical Stripes: Orange/Cobalt
$ 16.48
$ 32.95
V027
V0272N
Nylon
Falling Stripe: Green/ Black
$ 16.48
$ 32.95
V027
V0271N
Nylon
Falling Stripe: Cloud/Sky
$ 16.48
$ 32.95
V026
V0261W
Merino Wool Box Plaid: Opal/Ink
$ 17.48
$ 34.95
V026
V0263W
Merino Wool Box Plaid: Indigo/Scarlet
$ 17.48
$ 34.95
V029
V0291M
MW Nylon
Solid: Olive/Navy
$ 16.48
$ 32.95
V029
V0292M
MW Nylon
Solid: Rose/Plum
$ 16.48
$ 32.95
V025
0251C
Cotton
Lily: Tan/Burgundy
$ 16.48
$ 32.95
V025
0252C
Cotton
Lily: Purple/Teal
$ 16.48
$ 32.95
Whlsle
MSRP
Style #
Color
Description
Fabric
S
M
L
Wide
Total
Men's Collection (15-20mmHg) V024
0241C
Cotton
Overlapping Diamonds: Navy/ Red
$ 16.48
$ 32.95
V024
0242C
Cotton
Overlapping Diamonds: Slate/Olive
$ 16.48
$ 32.95
Marketing & Point of Sale Items Available Educational brochures for customers (increments of 30) Sizing Kits (Measuring Tape, Compression Level, Fabric Option, Sizing Chart)
Quantity Unit Cost
Free Free
Table Top Display (Free with $500+ order)
$50.00
Full Point of Sale Display (Free with $2000+ order; $100 with $1000-$1999 order)
$150.00
Plastic Leg (Free with $500+ order)
$30.00
Wall Slat Vertical (5.5" x 12.5")
Free
Wall Slat Horizontal (12.5" x 5.5")
Free
Media Foam Board (8.5" x 11")
Free
Medical Foam Board (8.5" x 11")
Free
Fabric Swatch Set
Free
Posters / 1 Free on request, additional $15.00 Icon with Education Language (9"x13")
$15.00
Nurse in a Hospital (18"x24")
$15.00
General Lifestyle (18"x24")
$15.00
Notes:
Total
