WSSI: Print for Fax/Mail Orders

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Print/Fax Order Form

Wood Stabilizing Specialists, Int'l.
2940 Fayette Ave.
Ionia, IA. 50645
USA

Toll Free: 800.301.WSSI or 641-435-4746
Fax: 641.435.4759

Print this form and use for fax or mail orders.
Be sure to include your e.mail address.
Orders are acknowledged via email upon receipt.

Name:
Email:
Company:
PO#:
Address1:
Address 2:
City:
State:
Phone:
Zip/Postal Code:
Country:

Office Use
Order Rcv'd:
Est. ship:
Order ship:
Notes:

NOTES: Upon our receipt of order we will notify you of an estimated delivery date. You will be provided with an order number that you may use when making inquiries.

Credit card purchases will not be processed until the order is ready to be shipped.

We will notify via email when order is ready to be shipped.

To check on current order status, email mike@stabilizedwood.com or use the form at www.stabilizedwood.com/contact.shtml

Phone?: Call 800.301.WSSI with questions pertaining to orders between the hours of 8:00 A.M. to 4:00 P.M. Central Standard Time.

Thank You!
Mike Ludemann

Order the following items:
More than 4 items?...Use additional printout!

Item Name-or Product #	Description	Quantity	Unit Cost	Total
1.
2.
3.
4.
Sub-total:
Iowa residents must add 6% state sales tax:
Add shipping (see below):
Total:

Shipping Method Check box to indicate shipping preference.	Special Shipping Instructions:
Send order via regular UPS
Send order via PRIORITY MAIL

Additional notes, questions, or comments (attach separate sheet if needed):

Payment Options (check box to indicate payment method)
Master Card Visa (4% transaction fee applies on credit card orders)	Card Number:	Exp. Date:
Check Enclosed
Signature:__________________________________________Date:_____________________