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Most orders can be completed using the Shopping Cart feature
available on each page. Please use the "Shopping Cart" feature if you can.

We have provided this form just in case. Because of mass amounts of spam email the direct emailing function had to be removed. You can send an email to Sales Information with any questions, orders or other requests.

Placing a "Mail-In" Order

Use this form if you can not complete an order with our Shopping Cart.

Fill out the form on line and "Print It" on your printer.
You can also print this page out and fill it in by hand if you prefer.
You should keep a copy for yourself.

Send the printed form to:
  JWMercantile, LLC
  1138 Normandy Dr.
  Portsmouth, OH 45662

NOTE:
You can use the Shopping Cart on our Web Site to find Shipping Costs
and Ohio State Tax Amount.

(Ohio State Tax must be collected if shipment delivery address is in Ohio.)
+ Indicates a required item for shipments.

Our Privacy Statement about our use of information collected here may be
viewed on our Privacy Notice page.

Your Name:

E-mail Address:

Home Address:

Apt. or Suite:

City:

State, Zip:

(Area Code) Telephone:

List items and prices here:












Ohio State Tax:

Shipping Costs:

Total Costs:

Please add any comments, shipping information or questions you may have.



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This page: www.jwmercantile.com/mailform.html
Modified: 10/4/08 5:20 PM