OnLineArmory.com
onlinearmory.com

Klaus Gehr
151 Hickory Hill
Burkeville, Texas 75932
Tel: 337-328-3829
E-mail: klaus@onlinearmory.com

Date: ________________ Contact Name: ________________________________
Ship To: __________________________________________________________
Phone/Fax: ________________ E-Mail: ________________________________
Notes:


QTY
Description
Price
Total
a
:
$
$
b
:
$
$
c
:
$
$
d
:
$
$
e
:
$
$
f
:
$
$
g
:
$
$

SubTotal:
$
Tax 8.25% - Tx only
$
Outside US - add 12% to subtotal
$
Shipping (see order info)
$
Total Amount:
$

Print out this form and mail to the address above.
All shipping fees are the sole responsibility of the customer.