Order Form

Mail orders to:

 MT Forge           

5391 N - 400 W

Markle, IN  46770

                   

 

 

 

Item Number

Qty.

Item Name

Specify any Special Length/width/height

Price Each

Total

 

 

 

 

$

$

 

 

 

 

$

$

 

 

 

 

$

$

 

 

 

 

$

$

 

 

 

 

$

$

 

 

 

 

$

$

 

 

 

 

$

$

 method of payment (Do not send cash.)

Total of merchandise

$

   Check      Visa     

Shipping

$
   Money Order     Discover

Handling

 3.00
   MasterCard    Paypal    Send payment to Kristi@mtforge.com

Shipping Insurance

$

Card Number___________________________________________________

Subtotal

$

    

Expiration Date________________(MM/YY)--CVV2#_________________

Indiana residents must add 7% Sales Tax

$

________________________________________________________

Total enclosed

$

 

 

 

 

 

 

 

 

 

 

 

 

        Card Holder’s Name as it appears on card (please print)

 

Signature_____________________________________ 

 

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Updated 05/31/2010

Copyright © 2004-2006 Linda V. Thomas. All Rights Reserved.