P.O. Box 107
3109 Old Philadelphia Pike
Bird in Hand, PA 17505

Phone: (717) 768-8101
Fax: (717) 768-8633
Email: birdinhandiron@paonline.com

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NAME_______________________________________________________________________
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E-MAIL______________________________________________________________________
PHONE_____________________________________________________________________
 
ORDER FORM
Quantity Code Description Item Price Total
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SUBTOTAL
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(PA residents add 6%)
SALES TAX
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(We can not calculate shipping at order time. You will be contacted via email or phone regarding shipping cost.)
SHIPPING
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Please allow 2 weeks for shipping after payment. (We will wait until your check clears our bank before shipping your order.) You may order by phone (Monday - Saturday between 10 AM and 4 PM) or by emailing the information on this order form to birdinhandiron@paonline.com.
AMT. DUE
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Indicate payment choice: ____ Check ____ Visa/MasterCard    
Card Number ______________________________________
Expiration Date ____________________________________
Name on Card _____________________________________
Zip Code where statement is mailed: ____________________
Date: ____________________________________________

Signature _________________________________________
   

Copyright © 2002 Bird in Hand Iron Works