Please call, mail or fax your orders.
Gopher Tackle:
24927 Minnesota Ave.
Deerwood, MN 56444
PHONE/FAX: 218-546-8195
Office Hours:
Mon. - Fri. : 8:30 am - 4:30 pm CS

Printable Order Form
Office Use Only:
Net:
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Fill:
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Date Rec'd:
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F.E.T
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Call:
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Fax:
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Visa:
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MC:
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Check #:
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Item Description
Code
Size
Color
Qty.
Price Ea.
Total
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Payment type:
Check: ___________Money order: _________
Master Card: ___ Visa: ___
CVV Code from Back of Card:___________________
Card Number:____________________________________
Card Expiration Date:_______
Merchandise Total:
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US Shipping and Handling

Canada Shipping and Handling
$6.50

$10.50
Subtotal
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6 1/2 % Sales Tax
(MN only):
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Name: _______________________________________________
Address:______________________________________________
City:________________ State:____ Zip:______
Phone #:______________________
E-mail:_______________________________________
Total Order
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Refunds
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