To DK.com LLC, 214 Co. Rd.29 Norwich NY, 13815 Mail Order Form
(607)-336-3919
Name of Product & ID# 1)_____________________________________________________ Qty________
2)____________________________________________________________________________Qty_______
3)____________________________________________________________________________Qty_______
4) ___________________________________________________________________________ Qty_______
5) ___________________________________________________________________________ Qty_______
Your full name: ______________________________________________Phone #________________________
Mailing & Billing Address_____________________________________________________________________
Shipping Address if different __________________________________________________________________
Purchase Total $_____________________________ Payment method circle: CHECK or MONEY ORDER
Shipping Ground Charge $12.00
New York State 8% Sales Tax if applicable $___________________
Total dollar amount of order $______________________.
COMMENTS OR SPECIAL REQUESTS :