Order Form

  Name:

  Address:

  City, State, Zip:

  Phone Number:

Item# / Description Quantity Price Each Total

















































Shipping
Orders Under $50.00 --- $4.95
Orders Over $50.01 --- Varies by weight of package
Packages are mailed USPS - First Class Mail

If a shipment has been damaged in transit,
please save all packing materials
and notify us immediately.
Merchandise Total

Shipping Charges:

Insurance (Optional):

Sub-Total:

Order Total:



Make Checks or Money Orders payable to: "Gerry Bowman"
Print and Mail Along with Payment To:
Lee Ann Bowman
112 81st Street
Lubbock, Texas 79404
Cell Phone: (806) 473-8732