Plastic Bait Online Sales

PAUL-E WORMS | ORDER FORM
For people who choose not to use PAYPAL. The forms are self-explanatory.

If you prefer to place your order by U.S. Postal Service, complete this form and send your payment to: PAUL-E WORMS, P.O. Box 179, Mentone, Alabama, 35984

We accept bank checks, money orders and personal checks (all personal checks must clear before product is shipped).

*All personal checks Must be made out to Paul Horridge

Questions? Comments? Contact us: Phone (256) 634-0048

E-mail: paulhorridge69@gmail.com

Or download this form and print and send along with your payment to PAUL-E WORMS, P.O. Box 179, Mentone, Alabama, 35984 Click this link to open a Microsoft "WORD" Order Form. PAUL-E WORMS ORDER FORM

MOST BAITS ARE $4.75 PER BAG or $22.00 IN BULK

Shipping Orders of $0.00 - $20.00 = $6.99, $20.01 – $40.00 = $8.99. $40.01 - $60.00 = $10.99, $60.01 - $80.00 = $12.99, $80.01 - $100.00 = $14.99

PLEASE DO NOT USE YOUR browser's auto-fill feature TO FILL OUT OUR FORM

* Required fields
Name *
E-mail Address *
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code: *
Phone
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ORDER #, THE # OF BAGS, Please put each item on a separate line.
Total Price for all Items in your order. *
Add Shipping - Orders of $0.00 - $20.00 = $6.99, $20.01 – $40.00 = $8.99. $40.01 - $60.00 = $10.99, $60.01 - $80.00 = $12.99, $80.01 - $100.00 = $14.99
Total Cost of Order
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(256) 634-0048

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E-Mail paulhorridge69@gmail.com

PAUL-E WORMS

P.O. Box 179

Mentone, Alabama

35984

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