PHONE/FAX OR MAIL ORDER FORM

Great Escape Works
2948 Laguna Drive
Idaho Falls, Idaho 83404
Phone:  208-525-8345
Fax:  208-525-8345
CALL TOLL FREE 1-888-330-7238

Method of Payment:
_____  Check or Money Order Enclosed (Sorry, no C.O.D.'s)

MasterCard/Visa#__________________________________________Date Exp.____________
Name:______________________________________Signature:_________________________
 

Ordered By:

 

Ship To:

 (if different than left)

Name:

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Name:

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Address:

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Address:

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City:

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City:

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State:

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State:

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Zip:

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Zip:

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Quantity

Item #

Description and Color

Price Each

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Idaho Sales Tax

 

Handling 
Freight

 

Total

 

Shipping and Handling Charges (Order Totals):

$0.00 to $9.99 add $3.75
$10.00 to $49.99 add $5.95
$50.00 to $99.99 add $7.75
$100.00 to $199.99 add $10.75
$200.00 and over add $12.75

Next day and second day air available.