NATURAL STRAW MATS ORDER FORM
SYMMETRY COMPANY		Phone: 626-576-1373		Email:Sales@SymmetryCo.com
		FAX: 626-628-3903		Web: www.symmetryco.com
Name:						Date:
Address						Order No.
City: State Zip						Phone:
Item #	Description			Shipping	2nd			Q‘ty	Unit Price	Amount
PSC-90	Roll-Up Straw Mats, 36" x 72"			$7	$1				$1.99
PS-90	3-Fold Natural Straw Beach Mat w/o pillow			$7	$1				$2.99
PS-90P	3-Fold Natural Straw Beach Mat w/pillow			$7	$1				$3.49
PS-150P	5-Fold Natural Straw Beach Mat w/pillow			$7	$1				$4.99
PS-2C	Roll-Up 2 Color Combo Straw Mat			$7	$1				$3.49
PS-3C	Roll-Up 3 Color Combo Straw Mat			$7	$1				$3.99
							Sub Total
Payment							Shipping & Handling
1.By Cash			To Symmetry Co.
2.By Check/Cashier’s Check,Money Order			To Symmetry Co.				Sales Tax 8.25%
3.By Credit Card Card No.___________________________ Valid Date MM/YY____________________ Signature__________________________ Print Name			O VISA O Master O Discover				Total

Remark: 1.Sales Tax: Californian Citizen please add 8.25% sales tax

2.Shipping & Handling: For additional units, please add up from the 2^nd unit column!