Copyright © 2005 - Galland Enterprises - All Rights Reserved Website by Hawk Mountain Designs |
Name ______________________________________________ Mailing Address ______________________________________ City ______________________ State _____ Zip ___________ Shipping Address (if different) ___________________________ ___________________________________________________ ___________________________________________________ Telephone __________________________________________ E-Mail _____________________________________________ Credit Card # ________________________________________ CC Expiration ________________ Type Card ______________ Signature ___________________________________________ |
The Hummingators 2614 Division Street Extension Parkersburg, WV 26101 Phone (888) 480-8766 |
Mail-In Order Form |
We accept VISA, MasterCard, checks and money orders. All checks will be held
until bank clearance. Use the print command on your browser for your mail-in copy. |
Item # Quantity Description Price |
____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ |
Subtotal |
____________ ____________ ____________ ____________ |
WV Residents Add 6% Sales Tax |
Shipping |
Total |
Shipping Costs: Please call or e-mail us with your address and we will provide exact shipping costs. |