Pitch SafeTM
ORDER FORM

VISA & MASTERCARD WELCOME
Order by Phone: 407-892-8438

Instructions: Print this form -- Complete form (please print) -- See box at right for prices, shipping and handling charges, and sales tax -- Please calculate the amount due correctly -- Make check payable to Mike Walker and mail to the address below along with this form!

Please print:


NAME :_____________________________________
PRICE LIST
ADDRESS:___________________________________ _______________ $285.00 Pitching Screen
CITY:_______________________________________ _______________ $315.00 Sock-Net Screen
STATE:__________    
ZIP_____________  
Shipping & Handling
PHONE:_____________________________________ $ ______________ $15.00 Within Florida
E-MAIL ADDRESS:____________________________ $ ______________ $20.00 Outside Florida
     
Mike Walker
4909 Stone Acres Circle
Saint Cloud, FL 34771
 
Sales Tax
(7% Florida Resisdents Only)
$ ______________ $19.25 Per Pitching Screen
$ ______________ $21.35 Per Sock-Net Screen
407-892-8438    
tcadmw1@hotmail.com $ ______________ Total Due
www.floridassa.com   Prices subject to change without notice!

Visa & MasterCard Welcome - Card Holder Name in Full - Card Type - Card Number & Expiration Date required.