ADIRONDACK OUTDOOR COMPANY

Mail orders to: P.O. Box 86, Elizabethtown, N.Y. 12932

Phone/ Fax (518)-873-6806 , e-mail:info@adirondackoutdoor.com.com

(Please print complete name and address plainly. UPS does not deliver to PO Boxes. Please give address for both UPS and Post if Different. Include phone number)

Date __________________
 
Name_________________________________________________________________
Street, Route, or Box ___________________________________________________
City ________________  State _____Zip Code ___________Phone#_____________
 
Visa, Mastercard or Discover Card
 Number_________________________           Expiration Date____________ 3 digit code on back of card_______
 
Quantity Size Item Unit Price Total Price
         
         
          
         
         
         
          
         
         
         
         
         
         
Subtotal  
NY Residents add 7.75% sales tax  
COD orders - add $8.50 fee  
Postage/handling (see Shipping fees)  
Total