MAIL and FAX Order Form
Please mail order form for
CHECK OR MONEY ORDER PAYMENTS
And fax order form to 570-247-5545
for credit card orders only.
***Please make sure to include your phone and/or email address in case of fax error.***
$23.95 Each
$21.95 3-5 qty
$19.95 6 or more
FREE SHIPPING
Name:______________________________________________
Address:____________________________________________
City:_________________ State:____ Zip:_________
Phone number:_______________________________________
Email address:________________________________________
Quantity Ea.____
Credit Card Orders Only (circle one):
Visa / Mastercard
Card #:_____________________________ Exp Date:__________
Signature:____________________________________________
Print form and mail with
enclosed payment to |
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Hunter & James P.O. Box 218 Rome, PA 18837-9705 |
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or |
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Fax credit card orders to 570-247-5545 |
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