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To order, print this form from your browser, fill out and mail to the following address.

Looking Eagle Mfg406-653-3478 ph.
PO Box 1092, Hiway 25 E 406-653-3476 fax
Wolf Point, MT 59201email: looking@midrivers.com

Shipping Address:
Name:       _____________________________________________________
Address:   _____________________________________________________
                  ________________________________________________
City           _______________________ State__________Zip__________
Phone #:   ______________________________________________________
e-mail:       _____________________________________________________
Qty Item# Description Price
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Shipping & Handling Charges
USPS (U.S. Postal Service) 50 U.S. states and Canada = call
UPS Ground (United Parcel Service) 50 U.S. states and Canada = call
 		Subtotal:______________
+Shipping:______________
+Tax (compute your state's tax):______________

 TOTAL:______________
Payment

Money Order (Make payment to: Looking Eagle Mfg)

Personal Check (Make payment to: Looking Eagle Mfg... please allow 10 business days to clear)

Credit Card Visa MasterCard

Account #:

Exp. Date: 

Signature: X ___________________________________________