Lakeview Co., Order by FAX

3620-9A Whitehall Road
Anderson, SC 29626
Phone (864)226-6990; Fax (864)225-4565

Order by FAX
This form for use with orders from within the USA

Complete the information below.
Print this form.
Fax the completed form, including credit card information, to
Lakeview Co., Inc.
3620-9A Whitehall Road
Anderson, SC 29626
FAX 864.225.4565

Fields in RED are required to fill your order

Date:
P O #: (if applicable)
Phone No:
Email:	For verification
Call Sign:
Company:
Ship to Name:
Address1:
Address2:
City, State, Zip:
Shipping Method:	UPS Surface UPS Blue UPS Red Other
Credit Card:	Exp Date: Mon, Yr:

Item	Quantity	Catalog No.	Item	Quantity	Catalog No.
1			2
3			4
5			6
7			8
9			10
11			12

Enter any special note or request:

Order Subtotal $
Shipping and Handling
$14.50 UPS Surface, except AK & HI. Call or Email (hamstick@hamstick.com) for other S&H. $
Sales Tax (if in South Carolina) $
Grand Total $

(You may leave the totals blank and we will calculate them, including S&H)

Please FAX this completed form, including credit card information to (864)225-4565. Your order will be shipped as soon as possible by the method you requested.

Order Subtotal	$
Shipping and Handling $14.50 UPS Surface, except AK & HI. Call or Email (hamstick@hamstick.com) for other S&H.	$
Sales Tax (if in South Carolina)	$
Grand Total	$

Order by FAX This form for use with orders from within the USA

Order by FAX
This form for use with orders from within the USA