Bowser Ordering Form    Use your print command to print this form.

Our web site is NOT set up for secure processing.   So . . . Please use this form to FAX, CALL or MAIL your order to:   Bowser Manufacturing Company, Incorporated   1302 Jordan Avenue   Post Office Box 322   Montoursville, PA 17754-0322 Orders:   (800) 327-5126 Mon-Fri 9am-5pm, Sat 9am-3pm ET Phone:   (570) 368-2379 Mon-Fri 9am-5pm, Sat 9am-3pm ET FAX: (570) 368-5046: (24 hours a day) Ordering terms and Conditions: • Retail orders: Please include shipping and handling charges. • Foreign orders: Customer is responsible for all shipping/handling. • PA residents must include a PA sales tax. • Money Orders, Checks, Discover, VISA & Master Charge accepted. Name: _____________________________________________________________ Street: _____________________________________________________________  City/Town _______________________________  State: _____  Zip: _________ Visa, Master Card or Discover Card#: _______________________ Expiration Date (mm/yyyy) : _________ Quantity Ordered Part # Description Price Each Price Total _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ _________ ________ ____________________________________ ________ ________ Sub Total of Items Ordered: $ (USD) ________ Shipping & Handling: $ (USD) ________ PA Sales Tax (if in PA): $ (USD) ________ Grand TOTAL of Items ORDERED: $ (USD) ________