This Form is for use via US Mail.
PRINT THIS FORM AND MAIL IT WITH YOUR PAYMENT TO:

Buffalo Bore Ammunition Co. (BBAC)
PO Box 1480
St. Ignatius, MT 59865-1480

 
 
Ship To:
Name _____________________________________________________
Address ___________________________________________________
City______________________________

_________________________________

State______ Zip ____________

Phone ____________________

 

Item No.

_________

Qty.

_________

Price Each

$____________

 

Extended Amount

$___________
Check  __ or M.O ____Enclosed
(Payable to BBAC)		 _________ _________ $____________ $____________
Charge my  VISA _______   MC_______ _________ _________ $____________ $____________
Card No.________________________ _________ _________ $____________ $____________
Expiration Date ___________________ _________ _________ $____________ $____________
Signature _______________________
     (Required for Credit Card Orders)

Total Extended Amount Ordered

 $ __________
Phone Orders using a Credit Card may be phoned in to:
(406) 745-2666
or Faxed to:
(406) 745-2264

Shipping and Insurance
(50 count - Flat Rate of $16.00 for up to 5 boxes)
(20 count - Flat Rate of $12.00 for up to 12 boxes)

 $ __________

Total Amount of Order

 $ __________
 ** For Shipments outside the continental US call for rates