Order by phone Call: 845-477-0737

Mail Order


MAIL ORDER FORM FOR CHECK OR CREDIT CARD PAYMENT

THIS FORM IS FOR STOCK SIZES ONLY

CUSTOM ORDERS CAN BE ORDERED BY PHONE & PAID BY MAIL


PLEASE MAKE CHECKS PAYABLE TO: MAGNUM PLASTICS, INC.
MAIL FORM TO: MAGNUM PLASTICS, INC., PO BOX 1830, GREENWOOD LAKE, NY 10925

Card#____________________________ 

Exp. (MM/YY)________

Security code__________

LEASH REFLECTORS:
$4.99 per three pack (shipping is included for this product).
TOTAL # OF REFLECTOR COINS (3/PK) = __________ x $4.99 = _____________

23-1/2" STANDARD SILL SHIELDS:

Quantity

Color
(Clear or White)

Depth
(2-1/4", 3-1/4", or 5-1/4")

             Number


       
       
       

TOTAL # OF STANDARD SIZE SHIELDS = _______ x $11.99 = _____________



29-1/2"STANDARD SHIELDS:

Quantity

Color
(Clear or White)

Depth
(2-1/4", 3-1/4", or 5-1/4")

Number

       
       
       

TOTAL # OF CUSTOM WIDTH SHIELDS = _______ x $12.99 = ______________

35-1/2" STANDARD SILL SHIELDS:

Quantity

Color
(Clear or White)

Depth
(2-1/4", 3-1/4"or 5-1/4")

NUMBER


       
       
       

TOTAL # OF CUSTOM DEPTH SHIELDS = _______ x $13.99 = ______________



DOOR SHIELDS:
TOTAL # OF CLEAR DOOR SHIELDS = _________ x $24.95 = ______________
TOTAL # OF WHITE DOOR SHIELDS = __________ x $15.95 = ______________
 
SHIPPING (see Shipping Rates) = ______________
SUBTOTAL = ______________
SALES TAX (New York ONLY) = SUBTOTAL x TAX RATE = _______________
GRAND TOTAL = _______________

SHIPPING INFO
BILLING INFO (if different)
Name:
 
Name:
 
Address:
 
Address:
 
City/State/Zip:
 
City/State/Zip: