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

Buffalo Bore Ammunition Co. (BBAC)
366 Sandy Creek Road
Salmon, ID 83467

 
 
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_______

AMEX_______ DISCOVER_______

_________ _________ $____________ $____________
Card No.________________________ _________ _________ $____________ $____________
Security Code or VCC No._______ _________ _________ $____________ $____________
Expiration Date ___________________ _________ _________ $____________ $____________
Signature _______________________
     (Required for Credit Card Orders)

Total Extended Amount Ordered

$ __________
Phone Orders using a Credit Card may be phoned in to:
(208) 756-3434
or Faxed to:
(208) 756-6969

Shipping and Insurance
(50 count - Flat Rate of $15.00 for up to 4 boxes)
(50 count - Free Shipping for 5 or more boxes)

(20 count - Flat Rate of $15.00 for up to 11 boxes)
(
20 count - Free Shipping for 12 or more boxes)


$ __________

Total Amount of Order

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