Printable Mail in Order Form
Make check payable and mail to:
Or you can call me to place a phone in Visa/MC. or Discover Card order:  (707)444-3880
Mailing Address: - T0M_FREDERIKSEN
1622 Vernon
Eureka, Ca.  95501

 *******Shipping to United States only ********
Washington State Residents please add 8.4%

Qty __________Item # _________________________     Cost ___________

 

Qty __________Item # _________________________     Cost ___________

 

Qty __________Item # _________________________     Cost ___________

 

Qty __________Item # _________________________     Cost ___________

 

Qty __________Item # _________________________     Cost ___________

 

Qty __________Item # _________________________     Cost ___________

Call for Shipping total _________________

Total ____________________

- PLEASE CALL FOR CURRENT SHIPPING CHARGE -

(707)444-3880

q Personal Check - q Cashier's Check or Money Order

Name _______________________________________________ Address ____________________________________________

City ________________________________ State _________ Zip ______________

Phone ___________________________ E-mail ______________________________________


U.S. Funds only, Please allow time for personal checks to clear prior to shipping. All orders shipped via USPS where possible. International orders, please contact me prior to ordering. If you want me to email you when I receive your order, please print the email address clearly.


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