Please
print this order form, fill out the information
Phone your order in to: PH: 828-396-9970 / Or Fax order form to: 828-396-9970
Mail with your Money Order, Certified Check, Personal or
Business Check
Make check payable to and mail to:
Pnderosa Products
5791 Rocky Mount Rd.
Granite Falls, NC 28630
|
Please submit
a separate order form if additional
items needed.
All merchandise shipping is held until personal or business checks have cleared. |
Item
Name or #:_______________________________
(Qty)_____ Price each: $_______
Description & Size (if app): |
Color
(if applicable):__________
Total Items Cost: $______ |
Item
Name or #:________________________________
(Qty)_____ Price each: $_______
Description & Size (if app): |
Color
(if applicable):__________
Total Items Cost: $______ |
Item
Name or #:________________________________
(Qty)_____ Price each: $_______
Description & Size (if app): |
Color
(if applicable):__________
Total Items Cost: $______ |
Shipping
amount & Additonal Comments in applicable:
|
Total
Amount enclosed: (Please include shipping)
$ |
Ship to: Mr. Mrs. Ms Miss:
|
ADDRESS:
|
City: |
STATE: |
ZIP: |
Credit Card
Information: Check 1
___Visa, ___M/C, ___Amex, ___Discover |
Account #:
|
Exp.Date:
Code
___/___ ____ |
| I authorize this order
to be charged to my account by my signature. |
Name on
Card: (Signature)
|
|
