Jackstuff.com
Mail Order Form

Download this form by selecting PRINT in your browser "file" menu.
Quantity
 Item
(Pfanstiehl, Natl. Wireless, Switchcraft, etc.)		 Model
 Price
 Shipping
(max.$8)		 Total
           
           
           
           
            
           
        Sub-total:  
        NY residents add
8% sales tax		  
          TOTAL:  

Name: ___________________________________________________________

Address: _________________________________________________________

City: __________________________________ State :_____ Zip: ____________

Phone: (______)__________________

Check _____ or money order _____ payable to: Jackstuff.com, or

To pay by PayPal, your email address: _________________________________




Mail orders  - send form to: Jackstuff.com, 811 Shoemaker Rd., Webster, NY 14580

Phone orders - (585) 787-1750