| RMWATERFOWL 401 EAGLE STREET DELAVAN, WISCONSIN 53115 262-740-0043, Fax 262-728-3993 |
| Name
___________________________________ Address _________________________________ City _______________ State ______Zip _______ Phone#_______________________ |
| Quantity |
|
Description & Color Choice | $/Unit | Price |
| . | . | . | . | . |
| . | . | . | . | . |
| . | . | . | . | . |
| . | . | . | . | . |
| . | . | . | . | . |
| . | . | . | . | . |
| . | . | . | . | . |
| . | . | . | . | . |
| ORDER TOTAL |
|
49.99 |
99.99 |
199.99 |
|
BULKY ITEMS |
|
|
|
|
|
|
|
|
ADD AN ADDITIONAL 6.00 FOR 2nd DAY AIR
10.00
FOR NEXT DAY AIR
Wisconsin residents add 5% plus applicable local sales
taxes.
CIRCLE YOUR SHIPPING PREFERENCE
|
|
|
|
|
| . | . | . | . |