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Fax this form to 715-445-5485, or phone us at 715-445-3178 to place
your order.
You may also mail your order to the address above if you prefer. Thank
you.
Name: Date:
Shipping Address:
City: State: Zip:
Phone: E-Mail:
Method of Payment: ___Money Order/Cashier’s Check ___Personal Check ___COD ___Visa/MC
Card #: Exp. Date:___/___ Name on Card:
Authorized Signature:
ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE
|
Merchandise Total (all pages) |
|
|
Shipping & Handling (US Orders) International orders billed actual shipping. |
$4.00 |
|
If COD payment, please add $6.00 |
|
|
Sub-Total |
|
|
Sales Tax (WI residents add 5%) |
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|
Order Total |
|
Manta
|
Color Patterns |
Qty |
Price |
Total |
|
01 Night Black |
|
$19.00 |
|
|
03 Natural Walleye |
|
$19.00 |
|
|
05 Wild Sucker |
|
$19.00 |
|
|
06 Baitfish |
|
$19.00 |
|
|
09 Orange Tiger |
|
$19.00 |
|
|
11 Pearl Tiger |
|
$19.00 |
|
|
12 Firetiger |
|
$19.00 |
|
|
13 Lac Seul Perch |
|
$19.00 |
|
|
14 Bullhead |
|
$19.00 |
|
|
15 Chartreuse Bandit |
|
$19.00 |
|
|
16 Orange Bandit |
|
$19.00 |
|
|
17 Chartreuse Tiger |
|
$19.00 |
|
|
20 Smallmouth Bass |
|
$19.00 |
|
|
21 Orange Firetiger |
|
$19.00 |
|
|
22 Crappie |
|
$19.00 |
|
|
TOTAL |
|
-------- |
|
Manta Hang 10 NEW FOR 2003!
|
Color Patterns |
Qty |
Price |
Total |
|
01 Night Black |
|
$22.00 |
|
|
03 Natural Walleye |
|
$22.00 |
|
|
05 Wild Sucker |
|
$22.00 |
|
|
06 Baitfish |
|
$22.00 |
|
|
11 Pearl Tiger |
|
$22.00 |
|
|
12 Firetiger |
|
$22.00 |
|
|
13 Lac Seul Perch |
|
$22.00 |
|
|
15 Chartreuse Bandit |
|
$22.00 |
|
|
16 Orange Bandit |
|
$22.00 |
|
|
20 Smallmouth Bass |
|
$22.00 |
|
|
21 Orange Firetiger |
|
$22.00 |
|
|
22 Crappie |
|
$22.00 |
|
|
TOTAL |
|
-------- |
|
Super-Shallow Manta
|
Color Patterns |
Qty |
Price |
Total |
|
01 Night Black |
|
$19.00 |
|
|
05 Wild Sucker |
|
$19.00 |
|
|
06 Baitfish |
|
$19.00 |
|
|
11 Pearl Tiger |
|
$19.00 |
|
|
12 Firetiger |
|
$19.00 |
|
|
13 Lac Seul Perch |
|
$19.00 |
|
|
14 Bullhead |
|
$19.00 |
|
|
15 Chartreuse Bandit |
|
$19.00 |
|
|
16 Orange Bandit |
|
$19.00 |
|
|
17 Chartreuse Tiger |
|
$19.00 |
|
|
19 Flo. Orange Tiger |
|
$19.00 |
|
|
21 Orange Firetiger |
|
$19.00 |
|
|
22 Crappie |
|
$19.00 |
|
|
TOTAL |
|
-------- |
|
Shark 2 Speed Countdown
|
Color Patterns |
Qty |
Price |
Total |
|
02 Natural Perch |
|
$15.00 |
|
|
03 Natural Walleye |
|
$15.00 |
|
|
05 Wild Sucker |
|
$15.00 |
|
|
06 Baitfish |
|
$15.00 |
|
|
11 Pearl Tiger |
|
$15.00 |
|
|
12 Firetiger |
|
$15.00 |
|
|
13 Lac Seul Perch |
|
$15.00 |
|
|
23 Glow Perch |
|
$15.00 |
|
|
24 Glow Cisco |
|
$15.00 |
|
|
TOTAL |
|
-------- |
|
Shark Deep Diver
|
Color Patterns |
Qty |
Price |
Total |
|
02 Natural Perch |
|
$15.00 |
|
|
03 Natural Walleye |
|
$15.00 |
|
|
05 Wild Sucker |
|
$15.00 |
|
|
06 Baitfish |
|
$15.00 |
|
|
11 Pearl Tiger |
|
$15.00 |
|
|
12 Firetiger |
|
$15.00 |
|
|
13 Lac Seul Perch |
|
$15.00 |
|
|
23 Glow Perch |
|
$15.00 |
|
|
24 Glow Cisco |
|
$15.00 |
|
|
TOTAL |
|
-------- |
|
Hammerhead
|
Color Patterns |
Qty |
Price |
Total |
|
01 Night Black |
|
$17.00 |
|
|
02 Natural Perch |
|
$17.00 |
|
|
03 Natural Walleye |
|
$17.00 |
|
|
05 Wild Sucker |
|
$17.00 |
|
|
07 Frog |
|
$17.00 |
|
|
09 Orange Tiger |
|
$17.00 |
|
|
17 Chartreuse Tiger |
|
$17.00 |
|
|
25 Black/Orange tail |
|
$17.00 |
|
|
26 Black/Chart. tail |
|
$17.00 |
|
|
|
|
|
|
|
TOTAL |
|
-------- |
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Guarantee: All merchandise is guaranteed to be free of manufacturing defects. Your satisfaction is assured. This guarantee does not cover used or abused merchandise. RiverRun Tackle Company reserves the right to make inspection and determination of all warrantee claims. Please note: RiverRun Tackle Company, LLC does not assume responsibility for misuse or use of its products by uninformed, unskilled or skilled consumers.
Returns: RiverRun Tackle Company must authorize all returns. Contact RiverRun for authorization numbers and return labels. Our receiving department may refuse unauthorized returns. Return of merchandise shipped as ordered will be subject to a 15% re-stocking charge.