Patches ‘n Planks
1408 Chatham Road
· Camp Hill, PA 17011
(717) 761-1509 · patchesnplanks@msn.com

Order Form   (Please Print Clearly and Send to Patches 'n Planks )

Sold To: Ship To:
Name:  Name: 
Address: Address:
City: City:
State: State:
Zip: Zip:
Phone: Phone:
Email: Email:

 

Quantity Box # Wood Description Unit Price Total
           
           
           
           
           
           
           
           
           
           

Shipping and Handling Charges

Total Merchandise  
0.01-35.00 = $8.95 75.01 - 125.00 = $14.95 PA Residents add 6%  
35.01 - 75.00 - $11.95 125.01 - 175.00 = $18.95 Shipping & Handling  
Over 175.00  - Call for prices. / Call for all cabinet shipping & handling charges. Total  

    Payment of Order (US Funds only)          

Card Number  __________________________    Expiration Date __________________

Signature ____________________________________   Thank You For Your Order.