THE ET JACKALOPEE ~ ORDER FORM
Sorry, No credit cards are accepted at this time.
Cost: $120.00 plus $12.95 shipping (Priority USPS) 2 day US funds only
Canada: $32.95 plus any recent postal increase- USD
If you are also ordering an ET Hitch, the Jackalopee can be shipped
with the ET at no additional cost. Check, bank transfer, money order
payabale to Henry Szmyt.
The Installation Manual is included in the Jackalopee box.
Date ordered:
______________________________________
Customer: ______________________________________
Shipping address: ______________________________________
Email address: ______________________________________
Telephone/Cell:
________________________________________________________________
_
Please
print & mail your completed form with payment to:
