Maynards Fishing Tackle Order Blank

This order form can be used if you do not want to place your order on our secure server.

Fill this order blank out completely so we can process your order correctly. We ship most mail orders within 3 to 7 business days from the day we receive the order. MasterCard or Visa payment is accepted, or send a check made payable to Maynards Tackle.

Send your order to:

Maynard's Tackle P.O. Box 745 Winsted, MN 55395

Please include your street shipping address only. Call 1-(320)-485-3474 if you have any questions.

To Place an Order

• Either complete the shipping and order information below and print the completed form, or print it and fill it out by hand.
• Do one of the following:
  • FAX this page to 1-(320)-485-3476 (VISA / MasterCard / Discover / American Express orders only)
  • Mail this page with VISA/MasterCard/Discover information or check to the address above.
  • Otherwise, call 1-(320)-485-3474

Name:	Email:
Street Address:	P.O. Box:
City:	State/Province: ZIP/Postal Code:
Country:

Daytime telephone number:		Ext
Evening telephone number:		FAX number:

Please specify all hook sizes, body colors and weight whenever a choice is available.

	Quantity	Hook/Weight Size	Product name & complete description. Specify colors.	Price	Extended Price
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Make checks payable to: Maynards Tackle If paying by check, don't forget to enclose check with order. Do not send cash! If paying by credit card, fill out information below.			Merchandise Total
			6.5% Minnesota Sales Tax (Minnesota Residents Only)
			$5.40 We ship Priority Mail
			Total Enclosed

Credit Card Information:
Print name exactly as it appears on your credit card:
MasterCard:	Visa:	Discover
Credit Card Number:			Expiration Date:

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