THE WOOD & SHOP INC
2650 METRO BLVD, MARYLAND HEIGHTS ,MO 63042
FAX ( 314)739-4564                    PHONE (314)-739-0001
EMAIL www.woodnshop@aol.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     ____________

SIGNATURE _________________________________