If you would prefer to pay using a credit card or Paypal
(including international orders)
feel free to order from our Catalog Page.
If you would prefer to use a printed form,
print this form from your web browser.
Or, if you prefer, you can download this order form
in two additonal formats:
Microsoft Word
Adobe Acrobat PDF Format
Once you have printed a form, complete it and mail or fax.
Purchase Order's can also be faxed in place of the order form.
We accept PO's, Money Orders, Business or Personal Checks.
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NAME ___________________________
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PHONE _____________________
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ADDRESS _______________________________________________________
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CITY ____________________________
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STATE _____ ZIP ____________
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DATE ___________________________
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P.O. # _____________________
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| EMAIL ADDRESS_________________________________________ |
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Quantity
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Item (s)
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Unit Price
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Total
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Shipping & Handling:
$5 first item, $1 each additional item
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Sub-Total
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Shipping
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*Payments not received within 30 days are subject to a late fee. Pennsylvania residents include 6% sales tax.
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Tax
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TOTAL
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Make Checks or Money Orders payable to HILLBRIDGE
Credit cards are not currently accepted when using this form.
You may use a credit card or Paypal when ordering from our Catalog Page.