ORDER FORM

Sold To: _______________________________________________________________

Address: _______________________________________________________________

City: _______________________ State/Province: ________________ Zip: _______ Country: __________

Phone: ________________ Email: ________________________ Date: _______________

To Order by Mail: Print this form, complete it and then mail to:

Bayou Bob's Rattlesnake Museum, PO Box 1655 D, Weatherford, Texas 76086

To Order by Fax: Complete this form and then fax to 1-940-769-2626

Method of Payment

Please Check Appropriate Blank:

___ Master Card

Master Card Number: _________________________

Expiration Date (month/year): ____/____

Name exactly as it is on the Card: ______________________________

Signature: ______________________________

___ Personal Check

Phone ( ______ ) ______________________

Check Number ____________Amount $___________

All orders will be sent UPS or Parcel Post to include shipping costs. All COD orders add $5.00. Texas residents add 7.25% state sales tax.

Any Special Handling Requests or Custom Order Comments:

Thank You for Your Order!!

All products produced exclusively by BRR Ranch

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