Mountain Gear Surplus Sales
1400 Smokey Park Hwy
Candler, NC. 28715
www.armytents.com

FAX ORDER FORM
PLEASE PRINT, FILL IN & FAX TO 1-828-665-9093

Items Description:
______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Billing address:
Name:______________________________________________________________________

Street:______________________________________________________________________

City, State & Zip:______________________________________________________________

Telephone (s):_______________________________________________Fax:_____________

Shipping Address:
Name / Business:_____________________________________________________________

Street:_____________________________________________________________________

City, State & Zip:_____________________________________________________________

Telephone / Contact Name:_____________________________________________________

Carrier & Account # (If Applicable):_______________________________________________

Billing Information:
Visa / MC / Wire / Check / Other

Card Number: _______  _______  _______  _______   

Exp: MM:_____ YY: _____  Sec. Code: ______

Name On Card:__________________________________________________________________

P.O. Number (If Applicable):________________________________________________________


Signature:__________________________________

Remarks: