The Liberty Deck™ Order Form

To order, simply print this page, fill out completely and mail with your check or money order to the address below.
Sorry, no C.O.D. Credit card orders may be placed at libertydeck.com/Credit card Orders.

PLEASE PRINT

Mail completed order form with check or money order to:

Americana, Inc.
Box 1776
Lusk, WY 82225-1776

SHIP TO:
Name:___________________________________
Address:_________________________________
               _________________________________
City:____________________________________
State:_______________________Zip:_________
Daytime Phone:(____)______________________

 

QTY.

DESCRIPTION

EACH

TOTAL

 

Soft pack decks

$  25.00

 

MERCHANDISE TOTAL

 

 

 

SHIPPING AND HANDLING (See chart below.)

 

TOTAL DUE:

 

 

Shipping and Handling Charges:

Soft packs: Add $2.50 shipping per deck if ordering less than 6.
                    Add $1.00 per deck if ordering 6 or more.


METHOD OF PAYMENT:    (Circle one)

PERSONAL CHECK no. _________

MONEY ORDER

 
Please make remittance payable to Americana, Inc.
THANK YOU FOR YOUR PATRONAGE!

FOR OFFICE USE ONLY - PLEASE LEAVE THIS INFORMATION BLANK

ORDER #______________________
CUSTOMER #______________________
SHIPPING DATE: ______________________

 

 

Printed from http://wwwlibertydecki.com