Trading Company
or
Call 1-877-MALLARD
Please use a separate sheet for additional shipping addresses and correspondence.
Name ________________________________________________ Date _______________
[ ] Residence [ ] Business
Street Address ____________________________________ Box __________________
City ___________________________________ State ______ Zip ________________
Home Phone _________________________ Work Phone __________________________
Ship to another address? Please figure separate delivery charge for each different address.
Street Address _____________________________________ Box _________________
City ____________________________________ State ______ Zip _______________
Method of Payment (No Cash or Stamps)
[ ]Check or Money Order [ ] Visa (13-16 numbers)
[ ]Mastercard (16 numbers)
Number
________________________________________________ Exp. Date _______________
Signature
________________________________________________
Color
Size
Qty.
Description
Price Each:
Total
Price
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AMOUNT
FOR
GOODS_________
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ADD 4.95 TO ALL ORDERS FOR
SHIPPING AND HANDLING
Add $1 for each additional item
DELIVERY
CHARGES_________
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TOTAL
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Short Sleeve Sizes: S,M,L,XL ($15) XXL, XXXL ($16)
Colors: Black Dog Black, Speckle-Belly Gray, and Snow Goose White (custom colors available upon request)
Long Sleeve Sizes: S,M,L,XL ($18) XXL, XXXL ($19) Waxed Canvas Caps
w/ "Black Dog, Stuttgart, Arkansas" Monogramming
Colors: Please call for current colors available
Price: $20
Colors: Black Dog Black, Speckle-Belly Gray, and Snow Goose White (custom colors available upon request)