JoCo Emprise Gun Magazines Printable Order Form

Joe R Lowe
820 Patricia
Irving TX 75060

FAX: 972-790-1032                                      PHONE: 972-986-8158


NAME:
ADDRESS:
CITY:
STATE and ZIP:
PHONE:
MANUFACTURE OF GUN:
MODEL NUMBER:
CALIBER:
NUMBER OF ROUNDS:
PRICE PER MAG
NUMBER OF MAGS:
SUBTOTAL FOR MAGS:
SHIPPING:
ADD $7 FOR THE FIRST MAG:
ADD $2 FOR EACH ADDITIONAL MAG:
For example, if you wanted 3 mags, add $7 for the first mag and 2 X $2= $4 for the two additional mags. Total shipping in this case is $11 for three mags.
TOTAL (MAGS + SHIPPING):
PAYMENT ENCLOSED or CREDIT CARD NUMBER:
EXPIRATION DATE & THE LAST THREE NUMBERS OFF THE BACK OF THE CARD:

Note: I do not ship COD!!!!!! We ship 3 day priority by the US Postal Service.

PLEASE USE THE SPACE BELOW TO ADD ANY COMMENTS:

Thank you