THE WOOD & SHOP INC

21505 HWY OO EOLIA MO 63344
FAX ( 573)573-1447 PHONE (314)-739-0001
EMAIL www.woodnshop.com

ORDER FORM   (PLEASE PRINT)

Name       

Address 
City          St. Zip

Phone No 
E-MAIL

WE ACCEPT MASTER CARD, VISA, DISCOVER, AMERICAN EXPRESS

Credit Card Exp Date 
                         CCV number 3 or 4 digits     

SHIP TO:

NAME _

ADDRESS

CITY, STATE, ZIP ___________________________________________________________

 PROGRAM 1 12 SHIPMENTS PER YEAR   Y/N
 PROGRAM 2 6 SHIPMENTS PER YEAR Y/N

TYPE OF WOODWORKING
        LATHE TURNER Y/N
       GENERAL WOODWORKING
       ASSORTED THICKNESS AND SIZES OF LUMBER Y/N
       OTHER WOODWORKING

PRICE RANGE PER SHIPMENT
       $ 25.00 TO $ 35.00 + SHIPPING  Y/N
       $35.00 TO  $ 45.00 + SHIPPING  Y/N

FIRST SHIPMENT TO ARRIVE BY:  
OCCASION 
HOW DID YOU FIND US OR COUPON CODE