Order Form

Wild Boar Blades
1701 Broadway, PMB 282
Vancouver, WA 98663

Please make Checks or Money Orders payable to: Wild Boar Blades

First Name
Last Name

Street Address

City
State/Province

Zip/Postal Code
Country

E-mail
Home Phone

Quantity Stock # Description Price

Subtotal

Shipping Rates: (Insurance is included in shipping rates)

Purchase Amount

Shipping Charges
USA

Shipping Charges
CANADA

Shipping Charges
INTERNATIONAL

$10.00-$100.00 $7.00 $9.10 $14.00

$101.00-$149.00 $9.00 $11.70 $18.00

$150.00-$200.00 $12.00 $15.60 $24.00

Per each additional $100.00 add $2.00 add $2.60 add $4.00

Shipping

(Washington State Only) Tax

Grand Total

Washington State residents will need to add the appropriate amount of sales tax.
*Be sure to include your check or money order with your order if you print and mail this form*
Order will be shipped once check clears. Please call with any questions, toll free 1 (888) 476-4400
(Note: This form will not automatically calculate your Subtotal or Total)

Credit Card Type:

Credit Card #

Credit Card
Expiration Date

Other Method of Payment

SHIPPING

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

*First Name*
Last *Name*
*Street Address*
*City*
*State/Province*
*Zip/Postal Code*
*Country*
*E-mail*
*Home Phone*

Shipping Rates: (Insurance is included in shipping rates)
Purchase Amount	Shipping Charges USA	Shipping Charges CANADA	Shipping Charges INTERNATIONAL
$10.00-$100.00	$7.00	$9.10	$14.00
$101.00-$149.00	$9.00	$11.70	$18.00
$150.00-$200.00	$12.00	$15.60	$24.00
Per each additional $100.00	add $2.00	add $2.60	add $4.00

*Credit Card Type:*
*Credit Card #*
Credit Card Expiration Date
*Other Method of Payment*

	SHIPPING
*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*
*Country*