Fishing Tackle - Michigan - Lake St. Clair, Lake Erie, Lake Huron, Great Lakes, Michigan,

Order Form
 

Mail/Fax Orders To:

Lakeside Fishing Shop

25110 Jefferson

St. Clair Shores, MI  48081
Tel:

(586) 777-7003

Fax:

(586) 777-1730

 
 
 
Order Date:_________________
 
 
 

 

                  Your Mailing Information:

Name:

____________________________________

Address:

____________________________________

 

____________________________________

City:

____________________________________

State:

____________________________________

Country:

____________________________________

Daytime Phone:

____________________________________

Evening Phone:

____________________________________

Email Address:

____________________________________

   
QTY. PRODUCT # DESCRIPTION COLOR # SIZE PRICE
EACH
TOTAL
             
             
             
             
             
             
             
             
             
             
 
*  Please refer to our Online Store for Product Number, Color, Size, etc.
**Please refer to the Shipping Chart below for applicable shipping charges in your area.
 
Credit Card Information:
 
Visa    Mastercard    Discover 
Check/Money Order 
 
Card #:                                                                        
Card Exp. Date:                                                            
Signature:                                                                    
 
Subtotal: $____________________
6% Sales Tax (MI Only): $____________________
Shipping & Handling: $____________________
Total Enclosed: $____________________
 
 
Shipping Charges
Continental U.S.
Merchandise Total:   Standard UPS Delivery:
$0.00-$15.00   $3.95
$15.01-$25.00   $4.95
$25.01 - $35.00   $5.95
$35.01 - $55.00   $6.95
$55.01 - $75.00   $7.95
$75.01 - $100.00   $8.95
$100.01 - $125.00   $9.95
$125.01 - $200.00   $10.95
over $200.00   $12.95
     
International Orders including Alaska and Hawaii
No shopping cart orders will be processed.
All orders must be faxed or emailed.
All orders must be prepaid in U.S. Funds.
No checks will be accepted.
Money must be deposited into our checking account before any orders will be processed.  Email or call for details.
The purchaser will be responsible for all taxes, duties and freights - no exceptions.
All orders will be shipped Federal Express.  We will need your Federal Express account number to ship your order.  You will be billed from Federal Express directly.  No exceptions will be considered.
 
 
Shipping Information:

Note:  Complete this section only if you would like your order shipped to an address different than your mailing address.
To avoid Fraud, we can only ship to the address listed on the Credit Card.

 
Would you like your order shipped to a different address?   Yes     No   

 

 
Ship To Address:
 

Name:

  _______________________________________________

Address:

  _______________________________________________
    _______________________________________________

City:

  _______________________________________________

State:

  _______________________________________________

Country:

  _______________________________________________

Daytime Phone:

  _______________________________________________

Evening Phone:

  _______________________________________________
 
Once we receive your order, we will contact you at the phone number you have provided to verify your order.

Once your Order has been processed and your credit card has been validated, you will receive an email confirmation of the order.  This email will also contain a listing of the products you have ordered, your total charge and the approximate ship date.  Please retain this email as your proof of purchase.  Once you order is shipped you will also receive a receipt in the shipment.

If the product you have ordered is in stock, your order will be shipped within 1-2 business days.  If the product you have ordered is not in stock, you order will be shipped as soon as possible.  Generally, items that are not in stock take approximately 3 weeks for delivery.

If you have questions about our products, have questions about this order or a previously placed order or would prefer to phone in your order, please call us at (586) 777-7003.

 

 

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