Osceola Wood Products - Order Form
2503 Kansas Street
....................................................................Telephone:
641-342-2219
Osceola, Iowa 50213 USA
..........................................................Fax Phone:
641-342-9671
To Order; Please print out this Form and fill it out completely, and
mail it with a check or money order to the address above.
Name:........................................................................Date:...................
Address:.........................................................................Apt.
No:............
City:...............................................................State:.........Zip:.................
Day Tel:......................................Evening
Tel: ............................................
E-mail address:........................................................................................
Ship to - Name:.......................................................................................
Address:.........................................................................Apt.
No:............
City:...............................................................State:..........Zip:................
No:......... Qty: .... Item:
........................................Price:..........Total: ...........
No:......... Qty: .... Item: ........................................Price:..........Total: ...........
No:......... Qty: .... Item: ........................................Price:..........Total: ...........
No:......... Qty: .... Item: ........................................Price:..........Total: ...........
.............................................................................Net
Total:___________
.......................................................
Iowa Residents Add 5% Tax: ___________
(Email or call for a quote on UPS charges) Freight:___________
TOTAL: ___________
Paid By: .....Check [
]........Money Order [ ]
Thank You for your Order!