ORDER FORM

MAIL THIS FORM TO:

Hamilton Dry Goods
4075 Roberts Matthews Hwy.
Sparta, TN 38583
Phone: 931-739-6061
 

YOUR SHIPPING ADDRESS:

 
Name:___________________________________________________
 
Address:________________________________________________
 
City:_____________________ State:_______ Zip:___________
 
E-mail address:_________________________________________
 
Telephone Number:(________)_______________________
 

PAYMENT METHOD: (Please do NOT send cash)

 
___ CHECK ___ MONEY ORDER
 

ORDER INFORMATION:

 
 Qty Item Name Additonal Information Price
 
_________ _______________________ ____________________________ _________
 
_________ _______________________ ____________________________ _________
 
_________ _______________________ ____________________________ _________
 
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Subtotal............ __________Please call or email for a shipping estimate.
 
Shipping Charges ... __________ADDITIONAL SHIPPING MAY BE REQUIRED FOR SOME ITEMS!
 
TOTAL AMOUNT........ $_________