Wonder Pole Order Form

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Mail-In / Fax-In Order Page 
Mail-in / Fax-in Ordering is just as Easy!. Simply print out the Order Form that follows, and fax it to 1-503-585-4294 (include credit card information) or mail it with a check or money order to:

Address: American Flag & Banner Co. / Fax: 503-585-4294
5220 Lardon Road, NE
Salem, OR 97305

Name:                  ____________________________________________

Address:               ____________________________________________

(line 2)               ____________________________________________

(line 3)               ____________________________________________

Phone/Fax:             ____________________/_______________________

Ship to
Name:                  ____________________________________________

Address:               ____________________________________________

(line 2)               ____________________________________________

(line 3)               ____________________________________________

Quantity    |          Product Description             |Price

 ___________|__________________________________________|_______________
 
____________|__________________________________________|_______________
 
____________|__________________________________________|_______________

____________|__________________________________________|_______________

                                                   sub-total:__________

                              Shipping & Handling (UPS Ground):___$22.00

                                                       Total:__________
Credit Card # _________________________________________________.

Expiration Date _ _ / _ _ 

Remember to enclose your check or money order payable to:
American Flag & Banner Co.