Payroll Deduction Form - Uniform

First Name

Last Name

Store Number

Order Date

Custom Name (optional)

Click an item to select options, then click Add to add to your order

No items added yet. Click on products above to add items.

Subtotal $0.00

Shipping Fee ($)

# People in Order

Your Shipping ($) $9.00

Tax (8.25%) $0.00

Total Amount $0.00

Number of Deductions

Payroll Deduction per check ($)

$0.00

Amount deducted from your paycheck will be slightly higher to account for shipping charges.