Print this form and return it by fax (503) 622-5490 or mail
to:
The Fly Fishing Shop
P.O. Box 368
Welches, Oregon, USA
97067
Only Online Orders through our shopping cart will be
accepted for shipments to foreign destinations.
FAX , Phone & Mail orders will be shipped to U.S. destinations only.
Order Information:
Item # Qty. Size Color Item Description Price Ea. Total
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|______ |______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
______|______|______|________|______________________________|_________|__________________
Subtotal:_______________________
Add shipping:___________________
Insurance: _____________________
Total enclosed: _________________