Print Order Form


Canfield Mountain Scotties
Order Form

 

 

P.O. Box 1742 • Hayden Lake, ID 83835
Phone: (208) 773-8505 • Fax: (208) 773-8505

 


Please print out this form and fax or mail along with your payment to
to Canfield Mountain Scotties

P.O. Box 1742 • Hayden Lake, ID 83835

Name: Daytime Phone:

Ship to Address:

Street Address:

City:     State:           Zip:

¨Gift? Here is my gift message: ______________________________________________________________

____________________________________________________________________________________________

Item#
Description
Quantity
Item
Price
Total
Price
      Sub Total
   Idaho residents must add 5% sales tax   Sales Tax(ID)
Method of Payment: We accept personal check (shipment will not be sent until check clears), money orders, Visa
& Master Card
  Shipping
(See Chart)
¨ Check or money order enclosed   Total
¨ Visa ¨ Mastercard Expiration Date: ________/______      
           
Card Account Number: _ _ _ __ _ _ __ _ _ __ _ _ _ Last 3 digits on back of card _ _ _    


Signature______________________________________________

©2004 Canfield Mountain Scotties