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Customer Information
Name ______________________________
Address ____________________________
City _______________________________
State _________  Zip Code _____________
Country ____________________________
Phone Number _______________________
Email Address _______________________

Waldryk's Arms & Armor
c/o Frank A. Renn II
6161 N. Hwy H
Springfield, MO 65803

PLEASE PRINT LEGIBLY
Quantity Item Size Unit Price Total Price
         
         
         
         
         
         
         
         
         
         
         
 
 
 
 
 
Method of Payment
(Circle One)
  • Personal Check

  • Money Order

  • Cashier's Check
Total
MO Residents add 7.225% sales tax
GRAND TOTAL
Payment (minimum 50%)
BALANCE

ORDERS from ALASKA, HAWAII & outside the Continental U.S.: Please call for shipping arrangements. All international payments must be in U.S. funds only.
LAYAWAY plans available after non-refundable 25% deposit. Balance due within four months.
PLEASE remember to fill out the measurement chart!


Sorry, we are not accepting credit cards at this time. Please do not send cash.

Please make check or money order payable to Waldryk's Arms & Armory.
For Office Use Only: Do Not Write In This Box
Date Received

______________
Date Completed

______________
Date Shipped

______________