Print this page, fill out this form and mail it with your payment to
Hancy Mfg. Co. 5324 Pheasant Lane,
Montague, CA 96064 or fax to (530) 459-0528 Please make checks payable to Hancy
Mfg.
Ship Order to: (please print clearly)
Name___________________________________________
Address__________________________________________
City____________________St______Zip_______________
Telephone (optional) _________________________ (used to give updates of order status)
e-mail (optional)_____________________________________ (used to give updates of order status)
| Product # | Item | Quantity | Price | Extension |
|
All orders are carefully and quickly packed at our distribution center to assure a prompt and timely delivery. |
Subtotal | |||
| CA sales Tax (.0775) (California residents only) | ||||
| Shipping | $4.60 | |||
| Total | ||||
Please make checks payable to Hancy Mfg.