printable order form
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 If you would like to mail or fax your order, you are welcome to PRINT out this form to use.
Available 24 hours, our Toll Free FAX number is:  (866) 224-4628
 Our mailing address is: Missouri Trading Company / P.O. Box 667 / Pineville MO 64856

Full name: Email:
Street/shipping address:
City:                                                    State:                                Zip:
Day Phone: Evening Phone:

Circle card type please:      Visa       MasterCard       Discover       American Express
Card#________-________-________-________ Expiration Month___________Year______
IF different from above, please give name on card, billing address and signature.
Name:
 		 Address:
 
City/State/Zip:
 		 Signature of card holder:
 
Qty Item # (if available) Item Description Item Price Extended Amount
         
         
         
         
         
         

Missouri Residents ONLY, please add sales tax 7.75%    

 

Shipping. 
If cost is not listed with the item, we ship best way.  We combine multiple items to save you cost. 
We charge actual shipping plus $1.00 packaging/handling.  Call for quote if you like. 

 
Page last updated 
November 29, 2007

Grand Total