|
Order Form |
|
Phone: |
|
E-mail: |
|
City: |
|
Country: |
|
Print and Mail orders to:
The Piping Lion P.O. Box 5421 Central Point, OR 97502
Email: pipinglion@pipinglion.com |
|
Method of Payment: No COD’s |
|
Remember to enclose Payment payable to: ”The Piping Lion” |
|
State/Prov: |
|
Billing & Ship to: |
|
Name: |
|
Address: |
|
Zip Code: |
|
Check |
|
Money Order |
|
If shipping inside USA add $6.00, Outside USA add $13.00 |
|
© 1995 |
|
Qty |
Description |
Chain style |
Price |
Subtotal |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amount |
|
|
|
|
|
Shipping |
|
|
|
|
|
Total |
|