Order Form

Austin Outdoors
3819 Dunlanwood Circle
Charlotte, NC 28226
Tel: 704-542-7215
Robert A. Burns, Jr.
Date:________________

Ship to:
Name:________________________________________________________
Address:______________________________________________________
City:__________________________ State:____________ Zip:__________
Telephone No. (W)_____________________ (H)_____________________

Method of Payment (check one):
Check_____ Cash_____ Credit Card _____
                                         #______________________________________
                                         Card Verification Number:_______________ What is this?
                                         Name on Card:_________________________
                                         Exp. date:___________

___ Here's $50 to put my treestand on layaway.
I will contact you prior to hunting season with balance.

Product            Price
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Subtotal: ______________
Shipping & Handling: ______________
Total: ______________
Shipping & Handling:
     $20.00 on all tree stands
     $10.00 on all other orders