Mountain View Products / LCL Supply Company - ORDER FORM

NAME:   
ADDRESS:  
CITY, STATE, ZIP  
E MAIL:  
PHONE:  

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(Uninsured - Shipped at Customers Risk) Shipping Within The United States is $7.00 flat rate, no matter how many items are ordered. 
(Insured) - Shipping Within The United States is $8.75 plus $1.75 for every $100.00 Spent. 
International Customers Contact us for Shipping Rates.

 $

( If you live in Tennessee or the Package is shipping to anyone in Tennessee you must pay Tennessee Sales Tax )      9.75%   Tennessee Sales Tax 

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TOTAL TO BE PAID       

 $

METHOD OF PAYMENT:

VISA         

MASTERCARD

 CHECK
to Mountain View Products.

MONEY ORDER
to Mountain View Products.

Card # :_______________________

Exp. Date:____________  CVV2 (Security Code ) ____________
_________________________
Credit Card Signature
(Required for Payment by Credit Card)

Mail To:
Mountain View Products / LCL Supply Company
P.O. Box 222
BELFAST, TN  37019