Order Form

Please print out this form to order the items that you are interested in. Send it with check, money order or credit card information to: Anglers Pride, 30 Third Street, Milton, WI 53563

Quantity

Size/Color

Unit Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total Items Ordered

 

 

 

*Shipping

 

    Sub Total Items & Shipping  
    WI Tax @ 5%  

 

 

Total

 


*Shipping Charges
Orders up to $30.....add $3.50
From $30 to $50.....add $5.25
From $50 to $70.....add $7.00

From $70 to $100...add $9.00
From $100 to $150...add $10.00
From $150 to $200...add $11.00
Over $200 ................add $12.00

Credit Card Information

Visa MasterCard Card Number_____________________________________

Expiration Date__________ Signature_________________________________

Name:______________________________

Address:____________________________ City:_________ State:__ Zip:__________

Telephone:_______________ Fax:_____________