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Riverland Paddle Company
7044 St. Augustine Road
Jacksonville, FL 32217
(904) 636-0815

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 of artwork wanted:	Color scheme:__________________ ______________________________ Letter Style as in Photo #___ Woodburn Style as in Photo #___ Total Items Cost: $______
Item Name or #:________________________________ (Qty)_____ Price each: $_______ Description of artwork wanted:	Color scheme:__________________ ______________________________ Letter Style as in Photo #___ Woodburn Style as in Photo #___ Total Items Cost: $______
Draw your own design/wording:	Color scheme:__________________ ______________________________ Letter Style as in Photo #___ Woodburn Style as in Photo #___ Total Items Cost: $______ Call or e-mail us for price
Shipping amount: $________ Additonal Comments in applicable:
Total Amount enclosed: (Please include shipping) $_______________

Ship to: Mr. Mrs. Ms Miss:
Name: ___________________________________

ADDRESS: __________________________________________________
City:______________________________	STATE:__________________	ZIP:_____________

If we need to contact you....	Telephone: ___________________	Fax: __________________	e-mail: ____________________________
Please print this order form, fill out the information and mail with your Money Order, Certified Check, Personal or Business Check payable to Riverland Paddle Company We also accept Credit Card Payments through PayPal Secure Server Click Here to sign up and pay through PayPal. If you are already registered, log in and send your payment to sales@riverlandpaddle.com

*Note*
Shipping is not include in item prices. Please call or email us with your location prior to mailing your order so that I may give you the correct shipping amount for your item(s) to your location.
You may email us at the link below.
You may also print and fill out this handy form prior to calling in your order to us.