Lake Michigan Angler - Mail Order Form

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.

Product
Code Quantity Description Unit
Price 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

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____________

Product Code	Unit Price	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