EASY RETRIEVER
ORDER FORM

                                                                        To Order

Copy and complete form - Then mail/fax/ or email (include check or money order or charge to Visa/MasterCard ) to:
E.R. MANUFACTURING,INC.
PO Box 266 - Cullman, AL 35056
FAX/256-775-3913

Charge My (circle one) Visa or MasterCard

Acct.Number_________________________________________Exp. Date_____________________

Signature__________________________________________________
Coated Easy Retriever 2oz.size 3 to a package
$5.99/pk # of Pkgs _____________ $____________
Non-Coated EasyRetriever 2oz. size 3 to a package
$4.99/pk # of Pkgs _____________ $____________

 COMBO PACK 3-2OZ./2-1OZ.  5 to a package     $6.29 per pack        # of packs

 _______________

 $____________
Crappie Easy Retriever 1oz. size 3 to a package
$3.49/pk # of Pkgs _____________ $____________
 

 

Order Summary Total # of Pkgs ________ Total $____________ Plus Shpg & Hdlg*(see below) $_________

 

 

Total Due

 

$____________

For International Shipments email info@easyretriever.com for pricing

SOLD TO
NAME:________________________________________
ADDRESS:_____________________________________
CITY:________________________________________
STATE:________________ZIP_______________
PHONE__________________________________
SHIP TO(If Different than Sold To:)
NAME:_________________________________________
ADDRESS:______________________________________
CITY:_________________________________________
STATE:________________ZIP_______________
PHONE__________________________________

*Shipping Rates for Continental U. S. Orders:

Total Price of
Merchandise
Regular
Delivery
Total Price of
Merchandise
Regular
Delivery
$00.00 - $25.00 $4.25 $200.01 - $300.00 $12.75
$25.01 - $50.00 $5.25
$50.01 - $200.00 $8.75 Over $300.00 Shipped Free

For information about Easy Retriever you can contact E.R. Manufacturing,Inc. at
phone (256)734-8102; fax (256)775-3913; or email us at info@easyretriever.com


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DEALER INQUIRES WELCOME!

Easy Retriever is a product of E.R. Manufacturing Inc., patent# 5,901,495