Mail/fax order form for Heavybilt Mailboxes, custom steel, virtually indestructible, vandal-resistant mailboxes; rust proof, snowplow friendly, aluminum, steel, PVC mailbox posts.

MAIL/FAX ORDER FORM

If you prefer to order by fax, simply print and fill out the form below, and fax itto 425-799-1902.

To order by U.S. Mail, print and fill out the form, mail with check (payable to Steel Mailbox Co., or SteelMailbox.com); or credit card information to: Steel Mailbox Co. , P. O. Box 135, Miamiville, OH 45147.

NAME_______________________________________________________

SHIPPING ADDRESS___________________________________________

CITY_____________________STATE______ZIP CODE___________PHONE____________

Product

Quantity

Color

Size/Model

Price Each

Total Amount

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SubTotal
Sales Tax Ohio Res. add 7%
Shipping - Check UPS rates. Use 45103 as Origin Zip Code. UPS Option:
Total Due

CREDIT CARD #________________________________

NAME ON CARD_________________________________

CARD TYPE___________EXP.DATE________ CVV2____ (3 digit # on back side signature panel)

CC ACCOUNT ADDRESS___________________________________________________________