WV Pewter ORDER FORM
Name ___________________________________ Comany Name
________________________
Auction User ID (If exsisting) ____________________ Customer # (If
Any) ____________
Address ___________________________________________
City ________________ State _____ Zip Code ____________
Country ______________
Phone # ______________________ Fax # ___________________
Email: _____________________
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Order Information:
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Stock # ______ Qty. _____ Cost Each $________
x Quantity = $__________
Total cost of Items $__________
(WV Residents add 6% sales Tax) $__________
S&H fee (USA orders under $100.00 in goods) $__________
Grand Total $__________
*Payments must be payable to: West Virginia Pewter, Inc.
Send to:
West Virginia Pewter, Inc.
Rt. 1, Box 46B
Volga, WV 26238
USA
Personal Checks, Money Orders, Cashiers checks, and US cash.
Payments must be in USD-drawn on a US Bank.
Checks will be held until they clear our bank.
Thank you for visiting our website!
WV Pewter (www.wvpewter.com)
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