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Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please provide the following ordering information:

QTY DESCRIPTION Price/Unit Total Price
Subtotal of Order
Nebraska residents add applicable Sales Tax
Shipping and Handling from table below
Total Order

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BILLING
Credit card
Cardholder name
Card number
Expiration date
SHIPPING
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Shipping Chart
Video: Shipping and Handling (Partial Post) $4.00 Wings ( UPS ) 3lbs per set                         1-6lbs    $4.95
Each additional video add $1.25                                                                7-12lbs    $9.95
                                                                 13-25lbs   $13.95
                                Please call for rates over 25lbs  

           Dura-Cover™ Shipping Chart

Shipping and Handling (UPS) One 5' Section weighs 6 lbs.  

Please call 1-800-367-5619 for weights over 60 lbs.

Service to Hawaii and Alaska please Call 1-800-367-5619
0-12 lbs   $10.00
13-24 lbs   $13.00
25-36 lbs   $20.00
37-48 lbs   $26.00
49-60 lbs   $30.00

If you do not wish to give your credit card information over the Internet,  You can print this form and send it with your check payable to Dura-Cover™ at the following address:

Dura-Cover™
248 E. 1st Street
Fremont, NE.  68025
1-800-367-5619




Feedback
Dura-Cover™
1-800-367-5619

Roger's
info@dura-cover.com
Manufacturers of Innovative Hunting Accessories

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Last revised: October 07, 1999