Lake Michigan Angler - Mail Order Form
Please print this form, fill out and then mail with payment to:

  Lake Michigan Angler
  762 Hillside Ave
  Antioch, IL 60002
Name:
__________________________________________________
Address:
__________________________________________________
City/State/ZipCode:
__________________________________________________
Phone:
__________________________________________________
Credit Card:
________________________________Expires____________
All prices in U.S. dollars, orders paid by credit card, cashier's check or money order will be faster, personal checks must clear before order can be processed. Orders can take 2-3 weeks.
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Total
Price
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
  Sub-Total  
* Sales Tax applies to residents of the State of Illinois only IL Resident
Tax 6.5%
 
  Shipping and Handling $8.00
  Total