Printable Order Form

If you prefer not to make a payment using our online shopping cart/ordering service, this is a printable order form to mail in with your check or money order.

Just complete this form and print it using your browser's print button. Please feel free to email us with any questions.

Please make check or money order payable to: Gary S. Pratt, RR 2 Box 23 B, Madill, OK 73446

Prices include shipping & handling charges. Thank you for your order!

Please provide the following contact information:

First Name

Last Name

Organization

Optional

Home Phone

FAX

Optional

E-mail

Please provide the following ordering information:

Price QTY DESCRIPTION

$17.00 each

$13.00 each

$8.00 each

SHIPPING

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country