Order Form
Purchased on eBay™
Must Be Checked For Ebay Items Otherwise Order Will Be Wrong
If you still do not wish to transmit this information via the internet please either:
call 1-800-322-3918 to place your order,
Print this form without sending it and fax it to 1-800-252-5339,
or write us.
Contact Information
Your Name*:
Address*:
City*:
State*:
ZIP Code*:
Email Address:*
OA Lodge:
Telephone Numbers:
Daytime:
Evenings:
Item Descriptions
(Please be specific, including Blue Book Number where appropriate.)
Item or Ebay Number
(Check Purchased On Ebay
at Bottom Of Page For Ebay Items)
Price
Item or Ebay Number
(Check Purchased On Ebay
at Bottom Of Page For Ebay Items)
Price
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Orders for more than 30 items are always welcome. To order more, please submit this form first then complete another form for the additional items you want.
Payment Information*
Credit card orders will be shipped the next business day. Orders paid by check or money order will be shipped after receipt of payment.
Master Card
Visa
American Express
Credit Card Number:
Expiration Date:
Check or Money Order
Purchased on eBay™?
(Must Be Checked For Ebay Items Otherwise Order Will Be Wrong)
Overnight Mail Desired?
($14.00 additional charge for patches only)
Call for overnight charges on books and supplies
* Required
Purchased on eBay™
Must Be Checked For Ebay Items Otherwise Order Will Be Wrong
If you cannot complete forms on your browser, please
email
the necessary information.
Purchased on eBay™
Must Be Checked For Ebay Items Otherwise Order Will Be Wrong
