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ORDER FORM

ORDER FORM

Print this order form out, fill it in and mail to the this address.


Norway Carry-All Company
E9237 Highway O
Sauk City, WI 53583

Item # Qty. Description Price ea. Ext. Price






























All Shipping/Handling charges are stated on the product page for each item
Shipping/Handling Total
Sub Total
WI Residents add 5 1/2% Sales Tax
Total

Date: ____________________
First Name: _________________________ Last Name: _________________________
Street: ___________________________ Apartment: ____________________
City: _____________________________ State: ___________ Zip: ___________
(area code) Phone: (______)________________

Ship to: (If different then above)
First Name: _________________________ Last Name: _________________________
Street: ___________________________ Apartment: ____________________
City: _____________________________ State: ___________ Zip: ___________
(area code) Phone: (______)________________
CHECK MONEY ORDER
VISA MASTERCARD DISCOVER
Credit Card Number:
eg. (XXXXXXXXXXXXXXXX)
_________________________________ 		Zip Code Card Issued to: _____________
Expiration Date:
Month: (XX) eg. if May = 05 _____
Year: (XX) eg. if 1998 = 98 _____
3 Digit CVV number on back of your Credit Card: ______________

Signature: _________________________________

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