|
| Order Form |
| Name: ___________________________________________________________________________ |
| Address: ___________________________________________________________________________ |
| City : ___________________________________________________State_____ZIP____________ |
| Phone: ___________________________________ Email: __________________________________ |
| Fishing System | Quantity |
Price Per | Total |
| Kits | $29.95 | ||
| Tax (Texas Residents Only) | 8.25% | ||
| Shipping | $6.95 | ||
| Total Order | |||
| Form of Payment: |
| Checks and money orders—make payable to: |
THUNDER LURE, LLC |
P.O. BOX 201946 |
AUSTIN, TX 78720 |
| Credit Card: |
 American
Express MasterCard Visa Discover |
| Card Number: ________________________________ |
| Expiration Date: ____________ month __________ year |
| Name on card: ________________________________ |
| Signature: ________________________________ |
Please allow 4-6 six weeks delivery |
| Please note: Some credit cards require the ship to address be the same as the card billing address. |