UniqueBrief® - Order Form

Order Instructions:

1. Select your desired size of UniqueBrief.

2. Enter the quantity of selected item, your total price will automatically calculate itself.

3. Fill out the shipping and payment information below, then press the "SUBMIT" button.

4. A order confirmation will appear on your screen and will also be sent to your email address.

Download our order form in PDF format.

Size

Color Code/
Waist Size

Items per Pack/CS

Qty.

Total Price

Small/
Medium

Pack (20 Briefs)	$34.95
Case (4 Packs, 80 Briefs)	$129.00*

Large

Pack (20 Briefs)	$39.95
Case (3 Packs, 60 Briefs)	$109.00*

Extra
Large

Pack (20 Briefs)	$44.95
Case (2 Packs, 40 Briefs)	$82.00*

Small

Fits 24" - 35"

Pack (14 Briefs)	$29.00
Case (8 Packs, 112 Briefs)	$220.00*

Medium

Fits 32 " - 47 "

Pack (14 Briefs)	$29.00
Case (8 Packs, 112 Briefs)	$220.00*

Large

Fits 39 " - 57 "

Pack (14 Briefs)	$29.00
Case (8 Packs, 112 Briefs)	$220.00*

Order SubTotal

If you have a promotional code,
please enter it here:

Shipping

Order Total
S&H Included

Most orders are shipped via FedEx Ground
$5.60 per Pack

* Free shipping when
ordering by case

Shipping Information

Billing Information

Full Name:

Company or Institution Name:

Shipping Address:

City:

State: Zip:

Comments:

Paying by:

Credit Card Number:

Expiration Date: mm yy

CVV2/CID Number: Help
(Locate your CVV or CID number and enter)

Name On Card:

Card's Billing Address:

Card's Billing City/State:

Card's Billing Zip Code:

Phone:

Email Address: (for order confirmation)