Mail or Fax this order form to:

Circle Fly Wads, LLC., PO Box 36, Airville, PA. 17302 Phone/Fax 717.862.3600

Name:

 

Address:

 

City, State, Zip:

 

Phone:

 

Quantity

Gauge Size

Description

Price Each

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total

 

Shipping

 

PA. Sales Tax - 6% (PA residence only)

 

Total - Payable to Circle Fly Wads, LLC

 

Credit Card #

Expiration Date

CVV Code

 

 

 

Personal Check, Money Order, VISA, or MasterCard accepted.

Shipping Charges : 1 Bag-$9.00 : 2 bags-$10.00 : 3 bags-$11.00 : 4 Bags-$12.00       5 -10 bags-$13.00 : Over 10 bags, call for quote.

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