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FLIPTAIL LURES ORDER FORM

SHIP TO: (Please Print)
Name _______________________________________________________________
Address _____________________________________________________________
City ____________________________ State _________ Zip _______________
Phone ( _____ ) _________________________

Quantity Item/Size Color Price Total
Sub Total
$7.70 Shipping & Handling (up to 300 count - over 300 count $15.00)
Total

Method of Payment - Please Check One
Check or Money Order Visa MasterCard
Account Number

Card Expiration Date: ____ /____ Signature: ____________________________________
Month/Year Signature required on charge orders by mail.

Phone No: ____________________________________

Mail orders to:
FLIPTAIL LURES
@ Texas Outdoors
3821 Southwest Blvd
Fort Worth, TX 76116
Credit Card Orders Can Also Call: 817-731-3402

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