Fill this order blank out completely so we can process your order correctly. We ship most mail orders within 1 business day from the day we receive the order. MasterCard, Visa, American Express and Discover payment is accepted, or send a check made payable to Maynards Tackle.

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:
Your name exactly as it appears on your credit card:
MasterCard:	Visa:	American Express:	Discover
Credit Card Number:			Expiration Date: