Woodsmans International - END USER

Retailer Prepaid Order Form

Please fill out the form below and click the [ Next ] button.
The information you enter on this form MUST match your Credit Card EXACTLY; as well as your delivery address.

Your Information

* Country :

* First Name :

* Last Name :

Address :

City :

Postal Code :

Email Address :

Phone Number : () -

Additional Information

* Store Name :

Store Number :

Store Fax Number : () -

Ordered By :

Purchase Order Number :

TAX Exemption Number :

Product Selection

Product :

Product Quantity :

Coupon Information

Coupon Code :

My shipping address is same as above

Shipping Information

Shipping Name :

Shipping Phone : () -

Shipping Address :

Shipping City :

Shipping State/Province :

Shipping Postal Code :

Shipping Method:

Use My Shipper :

Manufacturer's Shipping : UPS Ground Expedited