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Plastic Bait Rubber Worms

PAUL-E WORMS | ORDER FORM
For people who choose not to use PAYPAL. The forms are self-explanatory.

If you prefer to place your order by U.S. Postal Service, complete this form and send your payment to: PAUL-E WORMS, P.O. box 185,
Slatersville, RI 02876-0185.

We accept bank checks, money orders and personal checks (all personal checks must clear before product is shipped).

Questions? Comments? Contact us: Phone / Fax: (401) 710-9185

E-mail: paul@paul-eworms.com
Or down load this form and print and send alogn with your payment to PAUL-E WORMS, P.O. box 185, Slatersville, RI 02876-0185.Click this link to open a Microsoft "WORD" Order Form. PAUL-E WORMS ORDER FORM

ALL BAITS ARE $3.50 PER BAG or $16.00 IN BULK

YOU ONLY NEED TO FILL IN THE ORDER #, THE # OF BAGS

Orders of $0.00 - $30.00 = $5.99 Shipping. Orders of $30.01 - $60.00 = $7.99 Shipping. Orders of $60.01 - $90.00 = $9.99 Shipping. Orders of $90.01 & UP = $11.99 Shipping. RHODE ISLAND CUSTOMERS WILL BE ASSESSED A 7% SALES TAX.

* Required fields
Name *
E-mail Address *
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code: *
Phone
Fax
ORDER #, THE # OF BAGS, THE PRICE PER BAG \|Please put each item on a seperate line.
Total Price for all Items in your order. *
Add Shipping - Orders of $0.00 - $30.00 = $5.99 Shipping. Orders of $30.01 - $60.00 = $7.99 Shipping. Orders of $60.01 - $90.00 = $9.99 Shipping. Orders of $90.01 & UP = $11.99 Shipping. RHODE ISLAND CUSTOMERS WILL BE ASSESSED A 7% SALES TAX.
Total Cost of Order
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(401) 710-9185

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E-Mail paul@paul-eworms.com

Plastic Worms - Plastic Bait - PAUL-E WORMS
PAUL-E WORMS

P.O. Box 185

Slatersville, RI 02876-0185

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