Please use this form
to place youre order
and mail or fax it to:
Ian Eddy Blacksmith
P.O. Box 169
Saxtons River
Vermont 05154
Phone: 802-869-2828
Fax: 802-869-2178
Shipping Information
Name:
Address:
City:
State:
Zip:
Telephone:
Fax:
Email:
Comments:
Payment Information
Check
Money Order
MasterCard
Visa
Card Number:
expiration:
Name on Card:
Items requested
Item #
Quantity
Description
Unit Price
Total Price
Sub-Total
Shipping
Total
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