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Print this order form and mail it with your payment to:
STORMWISE ®
PO Box 284
Yantis, Texas 75497
U.S.A.
Telephone: (903) 383-7047

Please print clearly
SHIP TO:

NAME___________________________________________________

ADDRESS________________________________________________

CITY__________________________ STATE______ ZIP____________

TELEPHONE(______)_______________EMAIL__________________________

CHECK or MONEY ORDERS ONLY

Quantity Item Price Total
________
SW-01 PERCH
$ 5.50 + $ 0.50 s/h each lure.
$________
________
SW-02 PERCH
$ 5.50 + $ 0.50 s/h each lure.
$________
________
SW-03 SHAD
$ 5.50 + $ 0.50 s/h each lure.
$________
________
SW-04 SHINER
$ 5.50 + $ 0.50 s/h each lure.
$________
________
SW-05 PERCH
$ 5.50 + $ 0.50 s/h each lure.
$________
________ . . $________
________ .. $________
________ .. $________
* * SUB TOTAL $________
* * Sales Tax 8.25% if in Texas $________
* * Total $________
* *

No Foreign Orders

 *