(Printable Order Form)
The Floating Drydock
P.O. Box 8415
Madeira Beach,  FL  33738-8415

ITEM#

DESCRIPTION

QTY

PRICE (ea.)

TOTAL AMOUNT

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Sub-Total

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Please Note: Florida Residents ONLY add 7% sales Tax

 

 

 

Shipping

$____________

 

 

 

TOTAL DUE

 

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Order Total 


Shipping

US Shipping add:

MAKE CHECKS PAYABLE TO:  Thomas F. Walkowiak
$10.00-$30.00add$6.80
$30.01-$50.00add$13.00
$50.01-$75.00add$16.00
$75.01 and upadd$19.95
For OUTSIDE US and Canada DOUBLE the amount above.  

Make checks or money orders payable to: Thomas F. Walkowiak. 

Ship to:

NAME:

___________________________________

Address Line 1:

___________________________________

Address Line 2:

___________________________________

City, State, Zip Code:

___________________________________

Phone Number: ___________________________________

E-Mail Address:

___________________________________

We accept VISA, American Express and MasterCard and PayPal. When ordering with a card provide number, expiration date, name, and
signature. PLEASE print clearly the card information and Ship-To address.

Card Information:

Card Number:

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Expiration Date:

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Cardholders Name:

___________________________________

Signature:

___________________________________

For pricing and ordering questions please e-mail us.  Thank you.

updated  13 August 2016