Order Form

Order Form
Shipping Information:
	Name:
	Address:
	City:	State:	Zip:
	Daytime Phone:
	Fax:
	E-Mail Address:
Item #	Fly	Size	Color	Quantity	Price
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	Add 6% sales tax
	ORDER TOTAL

Make checks payable to:
Mike Heck
1664 Malibu Drive
Chambersburg, PA 17202
Fax Orders to: Shelley Heck @ 717-709-1414

Information Request - E-MAIL US @ trout@mris.com
(All orders mail when payment is received. Sorry no COD's accepted at this time.)
(Debit and Credit Card Payments are accepted through PayPal.)