Peterson’s Custom Lumber l Order Form

Ship To:

Date: _____________________________

Name: ______________________________________________________________

Address: ____________________________________________________________

City: _______________________________________________________________

State: __________________________ Postal Code: _________________________

Phone: ______________________________________________________________

 

QTY

DESCRIPTION

PRICE

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping Charges:

$30.00-$50.00……..$13.75

$50.01-$75.00……..$15.00

$75.01 and up ……..add 20%

Buyer pays actual shipping on slabs & intarsia wood.

Merchandise Total:

Postage:

Handling:

Sub Total:

WI Residents add 5.5%

Total Enclosed:

 

 

$3.00

 

 

 

Minimum orders of $30.00, please.

Method of Payment:

q Check

q Money Order

q Visa

q Master Card

q Discover

 

Credit Card# ____________________________________

Exp. Date: _____ / ______

Signature: ______________________________________________________________

 

Toll Free: 1-888-796-9663 (WOOD)

Peterson’s Custom Lumber

6682 Hospital Road l Burlington, WI 53105

Phone & Fax: (262) 763-5623 • www.petersonscustomlumber.com