Neil & Rhonda Bock
858 East Hwy. 30
Carroll, Iowa  51401
24 hour fax #  712-792-0601		 Customer Phone No. ____________________

Instant Service Number:712-792-0600 M-F 8AM-5PM(CST)

Ship to: Name ________________________________________
Street ________________________________________
City   __________________ State _____  Zip _________

UPS Can't deliver to Box numbers, Give complete Street of Rt. address & phone number

Quantity Description Total
       
       
       
       
       
       
       
       
       
       
       
       
       
       
    Print tag orders clearly.  Can print 22 spaces / line & 3 lines / tag (Print tag order below)    
 
 
 
 
    
 

Sub Total   

   
 

 Shipping & Handling Chart: Orders under $40.00, add $8.90 / $40.00 to $100.00, 
  add $12.90, Over $100.00 add $19.90    Video's and books (only $4.90)   
  All Iowa orders $8.90                                      Shipping & Handling>>>>>>>

    
 

7% sales tax, Iowa and South Dakota Residents only if for own use

   
   Canada & AK actual cost. US Funds Only Zip Codes starting with 0,1,2,7,8,9 
 and Montana add $4.00 per carton , stakes, traps, stretchers, buckwheat, 
 cage traps or body grip stabilizers                Add Carton Total here >>>>>>		    
 

International Orders Call for Shipping Totals                      Total    

    

Credit Card orders:      MasterCard   -   Visa   -  Discover    (Circle Kind of Card)
Card No. ______________________________________ Expiration Date _______________
Cardholder's Signature ________________________________________________________