Video/Catalog Order Form
Note : For security reasons we do not take internet orders...
Please call us with your order or complete this page and fax
or mail it to us...
Easy Rider Canoe & Kayak Co.
P.O. Box 88108 Seattle, WA 98138
Phone:
425-228-3633
Fax: 425-277-8778
E-Mail: Info@easyriderkayaks.com
Select Package:
Video Package
Includes:
2 1/4 hr. Video and
all four catalogs
$20 ppd.
(a $40 value)
Catalog Package
Includes:
All four catalogs
116 Pages Total
$10 ppd.
(a $20 value)
Wash. State Residents: Add 8.8% Sales Tax
-- Overseas Orders: Add $15
Ordered By:
First
Last
MI
Address
City
State
Zip
Phone home
Phone work
E-mail
Ship to:
(Only if different from “Ordered by”)
First
Last
Address
City
State
Zip
Method of Payment:
Please charge my
Visa
MasterCard
Name:
(as shown on card)
First
Last
MI
Card Number
Exp. Date
Check or Money Order (U.S. funds only)
