One Ocean Kayaks Mail Order Form
Print this form and send it with your order if you wish
Shipping information:

Name: ___________________________________________________________

Address:  _________________________________________________________

              
_______________________________________________________

City:____________________________ State:______________ ZIP: ________

Country:________________________

Phone:_________________________  E-mail:__________________________

Credit Card Information:

Name on card:_____________________    Card number:_________________

card type:__________           Expiration:   month:_______   year:___________

Billing info (if different from shipping):__________________________________

 ________________________________________________________________

 ________________________________________________________________

Item Price
















Subtotal
MA residents add 5%
Shipping & Handling
Total
__________
__________
__________
__________
The Full Terms of Sale apply to any form of purchase and/or payment.
Make checks payable to Vaclav Stejskal.

Mail:
One Ocean Kayaks
10 Colonial Court #73
Stoneham, MA 02180

Tel: 781-481-9261
Website
: http://www.oneoceankayaks.com
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