Warehouse Order Form Warehouse Order Form Britalia Optical · sales rep submissions for fulfillment Submitted by Sales rep name * Your email * Order details Order date Will this order be included in the holiday promotion? * Yes No Customer / business Business name * Account number Contact name Phone Email Discount Shipping address Line items ModelDescriptionColorQty + Add line item Notes Send order to warehouse Sends the order directly to the warehouse and cc's you a copy — no email app needed. Order sent To Cc Subject Message Copy everything