JCROWS.COM
Order Form
Order by phone, mail, fax or the Secure online order form. Use your web browser's
PRINT command to print out this form. Mark your choices down
as you read through the online catalog. Complete the ordering
infomation requested below and phone, fax, or mail the info to:
J.Crow Company
PO Box 172 -New Ipswich NH 03071
Phone/Fax: 1-800-878-1965 or 603-878-1965
jcrow@jcrow.mv.com
Prices are subject to change. Shipping by the best way is figured at time of shipment.
Any current discounts will apply.
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NAME__________________________________________________
ADDRESS_______________________________________________
_______________________________________________
PHONE _________________ EMAIL ____________________
HOW DID YOU FIND US? _________________________________
______________________________________________________________________________
| QTY | PRODUCT | DESCRIPTION | UNIT | EXTENDED |
| | NUMBER | | PRICE | PRICE |
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|_____|_________|_________________________________|_______|__________|
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|_____|_________|_________________________________|_______|__________|
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|_____|_________|_________________________________|_______|__________|
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|_____|_________|_________________________________|_______|__________|
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|_____|_________|_________________________________|_______|__________|
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|_____|_________|_________________________________|_______|__________|
PRODUCT TOTAL: ________
DISCOUNT (if one applies to your order): (________)
* Shipping & Handling : ________
ORDER TOTAL: ________
*Best way and figured at time of shipment.
If paying by check include $ 8.95 for S & H (or the corresponding stated amount for shipping, if any, on the product ordered)
We will advise you of any difference.
Add $ 9.00 for COD by UPS.
PAYMENT METHOD:
____check/money order enclosed ____ COD/UPS
____Visa ____MasterCard ____ American Express ____ Discover
Credit Card# __________/_____________/____________/_____________
Expires_________/__________
Card ID Number____________For Your Security
Where do I find my Card ID Number?
Name as it appears on card:___________________________________
Thank You For Your Order!
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