Mail In Order Form

To order via USPS Mail simply print this form, fill it in, send payment (Check/Money Order/Credit Card Info) and receive your items. If paying by check or money order please allow time for the check to clear. Thank you!
Please send this form with payment to: Jax Cat Tackle Company, PO Box 383, Becket MA 01223.
What would you like to order today? Please write down model and item number. Where applicable, please include size.

Model/Item	Select Model Number/ID	Size	Quantity/Cost per item	Cost
Ex: Storm Hot n Tot	HM 561 Firetiger Flash	2"	4 @ $4.89 each	19.56
Shipping Charges *
Mass Sales Tax 6.25% **

*Please add Shipping Charges: Click Here to see Shipping Charts. Items will not ship without the appropriate charges.
**Mass sales tax: If shipping to a Mass location we must charge Mass sales tax: Please add 6.25% to your order.
Method of Payment: Please circle one: Credit Card (fill in Credit Info), Personal Check, Money Order, E-mail me a Pay Pal Invoice or Google check out Invoice (Must have a Pay Pal or Google Check Out account and provide an e-mail address)

Your Shipping info: Name: _________________________ E-mail Address___________________ Phone Number: __________________ Street: _________________________ PO Box: _______________________ City: __________________________ State: _________________________ Zip: __________________________

Credit Card Information: (Only if paying by Credit Card) Name as it appears on card: ___________________ Card Number:______________________________ CVV#: ___________________________________ Expiration Date:_____________________________ Please read the following: I authorize Jax Cat Tackle to charge my credit card number above, in the amount of:  (place total of order + shipping + sales tax here) $_________________.______ Confirmation Signature: ________________________ Thank You!