PLEASE SEND THE FOLLOWING ITEMS OR CATALOG | PRICE |
---|---|
_________________________________________________________ | __________ |
_________________________________________________________ | __________ |
_________________________________________________________ | __________ |
_________________________________________________________ | __________ |
MAINE RESIDENTS ADD 5% SALES TAX | __________ |
SHIPPING AND HANDLING | __________ |
TOTAL AMOUNT | __________ |
Item | U.S. Charges | Canada | Overseas |
---|
Name_________________________________________________________________ | ||
---|---|---|
Address_______________________________________________________________ | ||
Town/City____________________________________ | State_______ | Zip_________ |
Telephone____________________________________ | Fax_____________________ | |
METHOD OF PAYMENT: Check/Money Order___Mastercard___Visa___ | ||
Card No:_______________________________ Expiration Date:__________ | ||
Signature:________________________________________ Date:__________ |
Tel: 207-853-6058
Fax: 207-853-6235
Email: mooseislandmarine@maine.rr.com