53 Downing Road
Bangor, Maine 04401
Henderson’s Redware
(207) 942-9013
Fax: (207) 942-9044
Toll Free: 866-376-4475
Retail Order Form
Print this page from your web browser and fill it out; then mail, fax, or call in your order
PURCHASER:
BILLING ADDRESS:
TELEPHONE #:
E-Mail:
SHIPPING ADDRESS (if different):
Date of Order:
Please allow 1-3 weeks for delivery
Date Shipped:
Method of Payment | Check Enclosed | Mastercard | VISA | Expiration Date: | V-Code: |
(Check One): |
Credit Card Number: |
Quantity | Item Number | Item Name and Description (size, style, decoration, etc.) | Unit Cost | Extended Cost |
$ | $ | |||
$ | $ | |||
$ | $ | |||
$ | $ | |||
$ | $ | |||
$ | $ | |||
$ | $ |
Unit Cost | Extended Cost | |
SUBTOTAL: | $ | $ |
Shipping will be added at time of order | $ | $ |
ME residents only: add 5.5% sales tax | $ | $ |
TOTAL: | $ | $ |