The Workingman's Emporium

260 North First Street;  San Jose,  CA   95113

Phone: (408) 287- 3942    Fax: (408) 287- 8879

Order Date:______________ 

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Address:
City:
State & Zip Code: 
Daytime Phone Number:
E-Mail:

Payment Method:     Check      VISA     MasterCard     American Express

**( Please put Drivers License Number on Checks )**
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Manufacturer

Style #

Qty.

Color

Size / Width

Waist / Inseam

Price

Each

Total 

Price

     

    

   

   

   

$

$

   

     

   

   

     

$

$

   

   

     

     

    

$

$

   

   

   

   

   

$

$
Product Total $
Tax  (if CA, 8.25%)                  $
Sub-Total $
Shipping $
Total $

                                                  

                                                   

How To Order               Shipping Price Table