| Questions and Orders: 1. Print out form below and mail with order and payment. 2. Fax in your order 24 hrs. a day: (302) 539-7301 3. For your convenice, use our Secure E-Mailable Order Form |
Fenwick Island Crab House Rd. 3, Box 190 Fenwick Island, Delaware 19944 (302) 539-2500 or (888) 539-6559 |
Bill To:
Name______________________________________________________________________
Address____________________________________________________________________
City____________________________________________ State_____ Zip ______________
Provence_______________________________________ Country ____________________
Phone Number ______ - ____________________
Ship To (if different than Bill To): Someone must be available to recieve shipment (neighbor, work, day off)
Name______________________________________________________________________
Address____________________________________________________________________
City____________________________________________ State_____ Zip ______________
Provence_______________________________________ Country ____________________
Phone Number ______ - ____________________
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$35.00
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METHOD OF PAYMENT: (circle one) VISA AMERICAN EXPRESS MC DISCOVER
Credit Card No._________________________________________ Exp. Date _______________
Signature (as appears on card) ____________________________________________________
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