REI Online Store Order Form 

Mail or Fax this form to:

   REI
   Sumner, WA 98352-0001 
   FAX:  (253) 891-2523 


BILLING ADDRESS
   REI Member #:               ______________________________________

   Name:                       ______________________________________

   Address:                    ______________________________________

   City, State, Country:       ______________________________________

   Zip/Postal Code:            ______________________________________

   Daytime Phone #:            ______________________________________

   Evening Phone #:            ______________________________________

SHIP-TO ADDRESS
(if different from above) 
   Name:                       ______________________________________

   Address:                    ______________________________________

   City, State, Country:       ______________________________________

   Zip/Postal Code:            ______________________________________

Should we treat this as a gift?
   ___ YES      Gift message:  ______________________________________
   ___ NO 
If "yes," we will remove price tags and send invoice with price information to
the billing address. Please note that gift orders do not include wrapping.
Thanks!


REI PRODUCTS 
Please provide:
Item Number |  Item Name  | Size  |  Color  | Item Price | Quantity | Total Cost

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Subtotal           ___________

Shipping      	   ___________

Sales Tax*         ___________

Lifetime membership 
($20 ea.)          ___________

Total              ___________

Method of Payment:    Visa/MasterCard/American Express/Discover (circle one)
                      Check or Money Order
                      Dividend (Enclose)
                      Gift Certificate: # ____________________ Pin _______
                      Gift Card:        # ____________________ Pin _______

Bankcard Number _________________________________

Issuing Bank    _________________________________

Signature       _________________________________

*US sales tax will be charged if shipped to: 
AZ, CA, CO, CT**, GA**, ID, IL, MA, MD, MI**, 
MN**, MO, NC**, NJ**, NM**, NV**, NY**, PA**, 
RI**, TN**, TX**, UT, VA, WA**, or WI**
											 
**Please base sales tax on shipping charge and on subtotal