Please print and mail in. Thank you.

K&E Tackle, Inc. 2530 Barber Rd. Hastings, MI 49058  Fax: (616) 945-4951 

   NAME:
   ADDRESS:
 
   PHONE:                                     E-MAIL:

 

DESCRIPTION

QTY.

PRICE

 

STOPPER HAT

 

$6.95

 

SUB TOTAL  

 

MICHIGAN 6% SALES TAX  

 

POSTAGE  

 

GRAND TOTAL  

 

 

METHOD OF PAYMENT

VISA/MC_____

M.O._____

CHECK____

CARD NO:                                                                            EXP:
BILLING ADDRESS ON THE CARD: