ORDER FORM
Mail form to:
 Smith's Fine Wood Products
RR #2, Box 258
Columbia Cross Roads, PA 16914
or fax to:
(530) 504-7458

Bill To:                                                                     Ship To: same as 'Bill To' address

Name: .   Name: .
Address: .   Address: .
  .     .
City: .   City: .
State / ZIP*: .   State / ZIP: .
Phone: (            )   Phone: (           )
E-mail:  .   E-mail:  .

*Zip code must match credit card billing zip code

Order:


Item #


Item Description


Option (if applicable)


Qty.


Price


Extended
. . . . $ $
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
Note: you must change the Zip Code and hit "Update Totals" in the shopping cart to get an accurate Shipping Estimate.

Shipping*

 .
Tax**
 .
Please add $1.95 if you want optional insurance
Insurance .
 

Total

 $

* Enter the products into the site's shopping cart and hit 'checkout'.
After entering the destination Zip Code and hitting Update Totals, your Shipping Estimate will be accurate.
** Shipments to a Pennsylvania address must include 6% tax

Payment Info:

Note: Payment by personal check may delay shipping of your product.

VISA
Master Card
Money Order / Cashiers check
Personal Check
. . . . . . . . . . . . . . . .

---------------------------------------------- Card Number ------------------------------------------------
.
 .   . .
-------Expiration Date--------
.
.
.
---3 digit security code (from back of card)---


_______________________________________________
Signature of Cardholder (must match "Bill To" name above)

I authorize Smith's Fine Wood Products to charge the credit card number indicated above for the total above plus sales tax (if applicable). I certify that the credit card number and signature above agree to the "Bill To" name above and that, as such, I am an authorized signer on this card.

Copyright © 2002 - 2008 Smith's Fine Wood Products. All rights reserved.
 All orders are subject to the policies in effect at the time the order is placed.

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