Order Form for Paddles

Phone: (504) 277-6526 324 E. Solidelle St. - Chalmette, LA 70043E-mail: steve@pirogue.com
E-MAIL/MAIL ORDER FORM
Fill-out Form, then PRINT, and mail/call/scan and attach form to your e-mail for your completed purchase order

Size Type Wood Price Amount Sub-Totals
4 Foot Canoe Cypress $40.00   
Ash $42.00   
Pirogue Cypress $40.00   
Ash $42.00   
5 Foot Canoe Cypress $42.00   
Ash $45.00   
Pirogue Cypress $42.00   
Ash $45.00   
Packing $5.00
Shipping  
TOTAL  

 Ship To:
 Name:
 Address:
 City:
 State/Zip:
 Phone:


Check TOTAL
Money Order/Cashier's Check TOTAL
   
 Credit Card Number:TOTAL
Visa Name on Card: 
Master Card Expiration Date: 
   
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