Order By fax You can order on line via our secure
server by clicking here,
but if
you'd prefer to submit your order via fax or mail, you can
print this
form, complete it, and fax or mail the information to us.
Billing Information
Name:
Address:
City:
State:
Zip:
Shipping Information
Name:
Address:
City:
State:
Zip:
Order
List
Item #
Quantity
Unit Price
Ext.
Price
Bait-Pro
Rod Conventional
$
79.95
Bait-Pro Rod Spinning
$ 79.95
Florida
Sales Tax (Add 7%)
Shipping
($15.00 per rod)
Total
Method of Payment
Please Fax or Mail
this form to: L&V Partners.
100 NE 11th Street // Miami, FL 33132 Fax.
305.374.3713
