Savich & Lee / Stalnaker Wholesale Farm Supply
6902 Causeway Blvd, Tampa FL  33604

Fax (813) 684-3680
Printable order sheet, print this order sheet, fill it out, fax it to us on (813) 684-3680


YOUR NAME:________________________________________________________

Shipping address ________________________________________________________________
 
CITY______________________________State_____Zip__________

Day-TimePhone#__________________________Fax#________________________Date_________

E-Mail address Pleaseprint)_______________________________

CreditCard #
_______/_______/_______/_______/Exp date _____CVV2 _____

Credit Card Holders Billing Address :___________________________________

CITY______________________________State_____Zip__________Country _________________ 

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