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Printable Order Form

Schneider's Order Form
Schneider's Rod Shop
2796 Highway 5 North
Mountain Home, Arkansas 72653 (870-424-3381, FAX 870-425-0782)

Item #

Quantity

Description

Price Ea

Price Total

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

                                                    Sub Total

                                                  Shipping

                                                               Special Handling

   TOTAL                                                                       

Date-__________________        Please tell us - Backorder? Yes______No______

 Your Name

 Address

 City, State, Zip

 Country-Province

 Phone #

 E-Mail Address

 
ORDER TOTAL CHARGE
UNDER $20.00 $ 6.00
$ 20.01 - $40.00 $ 6.75
$ 40.01 - $ 60.00 $ 7.75
$ 60.01 - $ 80.00 $ 8.75
$ 80.01 - $100.00 $ 9.75
$ 101.00 - $ $ 150.00 $ 10.75
$150.00 and up Special $ 11.50

WITH BLANKS UP TO 6 1/2'  LONG – Tube charge Add $ 6.00
BLANKS OVER 6 1/2’, UP TO 71/2’ LONG (1 PIECE) Add $ 14.00

Please Note: We will make every effort to ship your order complete,
however there is a charge for shipping back orders after the original ships.