BAITSTICK  FAX / MAIL IN ORDER FORM

Please  fill out this form then FAX it to: 313- 831-8307 or mail to: Baitstick   30274 Young St.    Rockwood Michigan 48173     telephone 734-6767772  Your order will arrive within 7 to 10 working days. Unless you specify other we ship US postal service

 Single tube is $7.50 plus $3.75 shipping & handling Total $11.25 

Single tube Large $13.00 plus $3.75 S & H Total $16.75                                                              

Two tubes  $15.00 plus $4.75 shipping & handling Total $19.75                                                                                      
 Three  pack sale $19.00 plus $4.75 S&H  includes 3 Baitstick tubes   Total $23.75                    
 Kryptonite 200 pack $8,50plus $3.00 S&H  Total $11.50                               This is enough to dye 200 night crawlers
Kryptonite 1600 pack $28.00 plus $4.80 S&H Total $32.80.                             This is enough to dye 1,600 night crawlers
Kryptonite 3200 pack $38.00 plus $6.80 S&H Total $44.80.                             This is enough to dye 3,200 night crawlers
Kryptonite 6400 pack $64.00 plus $9.20 S&H Total $73.20.                            This is enough to dye 6,400 night crawlers

All shipping cost are for US only. Outside the US email us for shipping cost  Orders are shipped   US post and arrive at your home within 10 working days. Any information you submit to us will not be used or sold to anyone and will always   be kept in strict confidence by us. We use "Merchant Card Services" credit card processing company, the same company your local restaurant or store is using to process  meal or any other purchases you make. Please print and fill out this form.

Please send me ____________________________________________________

________________________________________________________________                             

Total with shipping cost:$______________

I am paying by, circle one.         check            money order         credit card   

 Name:____________________________________________

Address:___________________________________________________

  City:_________________________________ State:_____ Zip:______________                       

Phone Number:________________________________                     

Type of Credit Card, circle one.      Visa          MasterCard         American Ex

Credit Card #:________________________________ Exp.date______________ I authorize The MRN 2000 Company to charge a total of  $___________________ to my credit card.                     

Signature:____________________________________

 Thank you for your order          

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