REDWALLET
CONNECTION
RELEASE AND REORDER FORM
RELEASE CUSTOMER STOCK FROM WAREHOUSE
New customers, please complete this section in full
Firm Name
(required)
Your Name
(required)
Street Address
Room or Floor
City
State and Zip
SHIP TO IF DIFFERENT THAN ABOVE ADDRESS
Firm Name
Attention:
Street Address
Room or Floor
City
State and Zip
Items To Be RELEASED From Warehouse
Item Description
Color
Qty.
Date Needed
Release Number
1
2
3
4
5
Repeat or Restocking ORDER
Items To Be MANUFACTURED
Item Description
Color
Qty. SHIP
Qty. For HOLD
Order Number
1
2
3
4
5
Special Instructions
New Customers (Please Complete Customer Information Section Above In Full)
Telephone No:
Fax No:
Description of Products Needed (Refer to our Website Catalog)
A Customer Service Representative Will Contact You With Pricing Information And Availability. Thank You For Selecting Redwallet Connection.
Redwallet Connection
201-223-2644 or 800-316-5119 FAX: 201-223-1055
2007 Kerrigan Avenue, Union City NJ 07087
E-Mail special requests to:
Redwalletinc@aol.com