Red Wagon Antiques
P.O. Box 101
Jackson, MN 56143-0101
e-mail: buy@redwagonantiques.com
web: www.redwagonantiques.com
Mail Order Form
Please print out the form and fax or send to us at the above address. An email should also be sent to confirm your order. Thanks!
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Please use address for Priority Mail (NO UPS!)and PRINT plainly.
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| Phone # | Day:____________________ | Evening:__________________ |
| Email: | __________________________________________________ | |
| Quantity | Stock # | Description | Price | Total |
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SUB-TOTAL |
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MN Residents Add 6.5% Sales Tax |
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TOTAL |
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Credit Card Orders
Card Number: __________________________________ Expiration Date: _____________
Three Digit Security Number: _____________
Signature: ____________________________________
*Shipping and handling will be charged on all shipments.