Pitch SafeTM
ORDER FORM

VISA & MASTERCARD WELCOME
Order by Phone: 407-737-7290

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:___________________________________ _______________ qty $300.00 Pitching Screen
CITY:_______________________________________    
STATE:__________   Shipping & Handling
ZIP_____________ $ ______________ $15.00 Within Florida
PHONE:_____________________________________ $ ______________ $20.00 Outside Florida
E-MAIL ADDRESS:____________________________    
    Sales Tax
(7% Florida Resisdents Only)
Mike Walker
440 Obispo Ave.
Orlando, FL 32807
$ ______________ $21.00 Per Pitching Screen
   
   
407-737-7290    
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.