PRINTABLE ORDER FORM
PHONE:
315-369-6100
FAX:
(315) 369-6120
1. Ordered By:
4. Ship To:
Name:
c/o:
Street:
City:
State:
Zip:
Phone:
Fax:
Name:
c/o:
Street:
City:
State:
Zip:
Phone:
Fax:
2. Telephone:
In case we have a question about your order
Day ( )
Evening: ( )
3. Method of Payment
Check or money order (US Funds only)
MasterCard
Visa
American Express
Card #:
Exp. Date:
Print cardholder's name:
Cardholder's signature:
(Signature and telephone required for all credit card orders.)
Item Number
Color
Size
Qty.
Description
Unit Price
Total
$
$
$
$
$
$
Shipping & Handling:
Shipping and Handling charges are determined by the United States Postal Service rates at the time of purchase.
Shipping
$
Subtotal
$
Local Sales Tax
(NY residents only)
$
Grand Total
$
Mail or Fax To:
Old Forge Hardware, PO Box 248, 104 Fulton Street, Old Forge, NY 13420 USA
RETURN HOME
Check or money order (US Funds only)