J Pigg Stink Bait and Guide Service

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Welcome

ORDER FORM

 

Send Payment To:    Ronald Wiesepape

                                    1405 SH16N                    

                                    Comanche, TX 76442                                    

 

 

 

Shipping Address: (NOT A P.O. BOX)

 

Name: _________________________________________________________

 

Street:_________________________________________________________

 

City, State, Zip:__________________________________________________

 

Phone: _________________________________________________________

 

 

 

Select Size Size QTY Individual Cost Total

_______________________________________________________________

 

1 Gallon Tub

$27.00 + $18.00 (S&H) = $45.00

 

2 each 1 Gallon Tubs

$56.00 + $25.00 (S&H) = $81.00

 

3 each 1 Gallon Tubs

$81.00 + $28.00 (S&H) = $109.00

 

4 each 1 Gallon Tubs

$112.00 + $30.00 (S&H) = $142.00

 

5 Gallon Bucket

$110.00 + $30.00 (S&H) = $140.00

 

   

 

 

Grand Total ________________________________________________

   

 

*Make check or money order out to: Ronald Wiesepape

 

Please print out  and use this page as your order form