Use your print command to print this form. This is not a secure site.
Send or
Call Order To:
Bowser Mfg Co Inc,
1302 Jordan Ave., PO BOX 322, MONTOURSVILLE,
PA 17754
PHONE:
570-368-2379: Monday to Friday 9:00 to 5:00 Eastern Time
Order Line:
800-327-5126: Monday to Friday 9:00 to 5:00 Eastern Time
FAX:
570-368-5046: (24 hours a day)
Retail Orders
include $9.95 for shipping and handling. $9.50
Shipping and handling for PO Box or
Parcel Post addresses. PA
Residents include 6% sales tax. Discover, Visa & MC Accepted.
Name:
Visa, Master Card, Discover #:
Street:
Street
Expiration Date:
City, State, Zip :
C
v v
#
___________________________________ (last
3 numbers in signature block on the back of the card)
Phone Number:
Quantity
Part #
Description
Price
Total
Ordered
Each
Price
Sub Total
Shipping & Handling
PA Sales Tax (if in PA)
TOTAL