Order Form

Printable Order Form (PDF format)

P.O. Box 935 Ottumwa IA 52501-0935

Name:

Address:

City, State, Zip:

email address:

Visa ___ MC ___ Account # ______________________ exp date ________

Signature ___________________________________________________

Quantity	Description	Price ea	Total










---	Subtotal	---
---	7% sales tax (Iowa residents)	---
---	Shipping & handling (see below)	---
---	Total included	---

We ship by United States Postal Service within the United States.

Orders under $50, shipping & handling is $5.00.

Orders $50.00-$150.00, shipping and handling is 10 percent of order subtotal.

Orders over $150.00, shipping and handling is $15.00.

For shipping & handling outside the United States, please inquire.

Please print this page, fill out your order, and mail with your check or money order in US funds. We also accept payments via Mastercard, Visa, and PayPal.

Questions? pbl@pbllimited.com

order information price list order form