Chawly Changer  Order Form

To order with a check or money order:
 
 1.  Print this Order Form, and fill it out.

The first page is all you need in most cases.
If you don't have a printer, just calculate your cost, and write a note.

Order  Form
Quantity:

Check
box  for
keychain:

purpe, green, teal,
smoke, brown,
black, blue, or red
Color:

  $6.95 Chawly Changer
  $7.45 Chawly with keychain

(U. S. funds)
Price Ea:
      Total:     


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Subtotal :  

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Missourians add 9.238 %  Sales Tax :  

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Postage & Handling :  

_____5.05__
Deliveries to U. S. A. only : Grand Total :  

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name :   _______________________________________________
address : ______________________________________________
city / state / zip :  ________________________________________
e-mail address (optional) : _________________________________


 2.  Write a check or money order payable to:
  Charles P. Wolters
 

3.  Mail order and payment to:
Charles P. Wolters
578  N. Laclede Station Rd.
St. Louis, MO  63119-2020

 

Chawly Products Company is Charlie Wolters, the inventor of the Chawly Changer and his machinery.  Any questions can be emailed to him at:
cpwolters@aol.com


 Credit Card Orders     See the Chawly Changer


 

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