ORDER FORM
S T Y L E #
QUAN T I T Y
TU101W1
TU139
TU139B
TU139E
TU139G
TU141W3
TU143BK3
TU151
TU153BK10
TU153W10
TU153W2
TU161W2
TU168
S T Y L E #
QUAN T I T Y
TU182
TU182BK4
TU183BK9
TU184
TU187
TU205BK3
TU212
TU228BK14
TU239BK3
TU241BK5
TU241BK13
TU243BK3
TU245BK7
TU258BK5
S T Y L E #
QUAN T I T Y
TU265BK10
TU267BK2
TU270
TU270W3
TU272BK4
TU275
TU278
TU280
TU282
TU283
Name of Retail Store:_____________________________________________________________
Address:_ ______________________________________________________________________
City, State, Zip:__________________________________________________________________
Telephone Number:_ _____________________________________________________________
E-mail Address:_ ________________________________________________________________
Please photocopy this order form
and fax order to: 914-517-5903
THE
MZL GROUP
