Please print the order form and mail or fax your order to Ancient Ways, LLC.
If you have any questions or prefer to order by email, please
send the
information to
info@ancientwayswest.com
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Ancient Ways, LLC Telephone an Order: 1-307-332-6001
P.O. Box 156 Fax an Order: 1-307-332-5367
Fort Washakie, WY 82514 Toll Free: 1-877-591-1779
ORDERED BY:
Business/Organization Name: __________________________________________
Contact Name: _______________________________________________________
Street Address: ______________________________________________________
City:________________________________State: _______ Zip: ____________
Country: _________________________ Phone: _________________________
Fax:___________________ Email:_______________________________________
SHIP TO ADDRESS: (If different from Ordered By)
Business/Organization Name: __________________________________________
Contact Name: _______________________________________________________
Street Address: ______________________________________________________
City:________________________________State:________ Zip: ____________
Country: __________________________________
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| Qty | Description |Price Ea.| Total
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______ ________________________________________ _________ __________
______ ________________________________________ _________ __________
______ ________________________________________ _________ __________
______ ________________________________________ _________ __________
______ ________________________________________ _________ __________
______ ________________________________________ _________ __________
______ ________________________________________ _________ __________
U.S. Shipping & Handling: $___________
TOTAL: $____________
METHOD OF PAYMENT:
[] Check [] Money Order [] Master Card [] Visa [] American Express
Card Number:_________________________________ Exp. Date _____________
Signature: ________________________________________ Date ____________
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Fort Washakie, Wyoming 82514
1-307-332-6001 Fax: 1-307-332-5367
Toll Free: 1-877-591-1779
info@ancientwayswest.com
Last Updated August 15, 2001