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9019 Mid Lake Road -
Woodruff, WI 54658 |
| Print out this form, complete it, and mail it to the address shown above along with a check or money order for the amount of the order (US Currency ONLY) made out to: Moore's Lures...If you are paying by credit card, we will need the following information: | ![]() |
Name (Please Print) _______________________________________ (As Shown on Card)
Card Number:____________________________________ Expiration Date ___/___
Signature:_________________________________________ (Required to process order)
Name:_______________________________________________ (Please Print)
Address:_____________________________________________ (Please Print)
City:____________________________ State/Prov.:_______________ Country:________________ Zip:________
Phone:(_____) ________________ Email:______________________________
| Item # | Item Description | Qty. | Price (Ea.) | Total |
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ |
| Sub-Total: | __________ |
| *Shipping & Handling (See Below): | __________ |
| 5.5% Sales Tax (Wisconsin Residents Only): | __________ |
| Order Total: | __________ |
*Shipping & Handling Fees Within The United States.
$0.00-$60.00 = $6.00 | Over $60.00 = $9.00
For Shipment to Canada, add $4.00 in additional
postage.
European orders are 'Credit
Card Only'. Appropriate Air Mail postage will
be added.