Clear View Lure Cover - Order Form

Clear View Lure Cover · Order Form

Use our handy javascript order form to place your order.
Just choose the product you wish, type in a quantity and either "Tab" to or "Click" another field.
Caution: Do not hit return or enter until ready to submit form.

Payment Method	Shipping & Handling *
Send your payment by check or money order payable to: Liz Thomas P.O. Box 271 Cottleville, Mo 63338	Price	Quantity
	$ 1.95	one
	$ 5.95	2 thru 10
	$ 11.95	11 thru 25
	» Free «	26 or more
IMPORTANT: You must manually add the "shipping & handling " to the "Grand Total" at the present time. This will change in the future. We apologize for the inconvenience.
Your order will ship upon receipt of payment.
* Shipping and Handling charges shown are for shipments within the continental United States only. Orders shipped outside of the continental United States will have additional freight chages.

Product	Qty	Unit Price	Ext Price
Subtotal:
		Sales Tax:
Grand Total:

Shipping Information Please note that fields marked with the red asterik "*" are required.
* Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
* Email address: