NAME:___________________________________________________________
ADDRESS:________________________________________________________
CITY:_______________________STATE:___________ZIP:________________
PHONE:_______________________
E-MAIL:_______________________
AMMO BOX, FRANKFORD ARSENAL - $45.00 X ______ = $________
AMMO BOX, SELMA ARSENAL - $45.00 X ______ = $________
**SHIPPING ($15.00 PER BOX) - $15.00 X____ = $________
COLT AMMO BOX- $16.00 X ______ = $________
**SHIPPING ($10.00 PER BOX) - $10.00 X____ = $________
COLT PISTOL SHIPPING BOX- $30.00 X ______ = $________
**SHIPPING ($20.00 PER BOX) - $20.00 X____ = $________
MECHANICAL BAKING BREAD BOX - $70.00 X ______ = $________
**SHIPPING ($40.00 PER BOX) - $40.00 X______ = $________
SUPPLY BOX COOLER - $100.00 X_____ = $________
**SHIPPING ($45.00 PER BOX) - $45.00 X______ = $________
LARGE COOLER BOX - $125.00 X_____ = $________
**SHIPPING ($60.00 PER BOX) - $60.00 X______ = $________
REGULAR SUPPLY BOX - $50.00 X_____ = $________
**SHIPPING ($35.00 PER BOX) - $35.00 X_____ = $________
LARGE FLIP-FLOP TABLE - $50.00 X_____ = $________
**SHIPPING ($30.00 PER TABLE) - $30.00 X_____ = $________
EXTRA LARGE FLIP-FLOP TABLE - $65.00 X_____ = $________
**SHIPPING ($35.00 PER TABLE) - $35.00 X_____ = $________
STOOL - $20.00 X_____ = $________
**SHIPPING ($15.00 PER CHAIR) - $15.00 X_____ = $________
LARGE CHAIR - $50.00 X_____ = $________
**SHIPPING ($30.00 PER CHAIR) - $30.00 X_____ = $________
BASIC SLAT CHAIR- $40.00 X ______ = $________
**SHIPPING ($30.00 PER BOX) - $25.00 X____ = $________
LAP DESK - $65.00 X_____ = $________
**SHIPPING ($25.00 PER TABLE) - $25.00 X_____ = $________
OHIO RESIDENCE, ADD 6.75 % SALES TAX:__________
GRAND TOTAL: $ _____________________
Name on the card:_________________________
Visa or Master Card #:______________________
Expiration Date:____________________________
Signature:______________________________
SEND TO:
GREENEWOOD
P.O. BOX 7145
EASTLAKE, OHIO 44097
(04/2009)
Email: sales@greenewood.com