Let-M-Run® Order Form

Let-M-Run^® Slip Sinker Order Form

Shipping Address

Name: ________________________________________

Street Address (PO boxes not accepted)____________________________________________

City : _________________________ State : ____________ Zip : ________________

Phone number : (___)_____________ E-mail address : ________________________

Billing Address

Name: ________________________________________

Street Address __________________________________________________________

City : _________________________ State : ____________ Zip : ________________

Quantity	Description of Product	Price Each	Total Price









Total For Merchandise:
Shipping and Handling Charge (see below)
6.5% Sales Tax (IL residents only)
TOTAL AMOUNT ENCLOSED

Shipping and Handling Costs (Canadian or foreign orders call for shipping prices)
Order Totals:	Added amount
Up to $20.00	$5.95
$20.01 to $30.00	$6.95
$30.01 to $40.00	$7.95
$40.01 to $50.00	$8.95
$50.01 to $100.00	$9.95
$100.00 and up	Call for pricing

Please make check's payable to:
Strictly Outdoors, LLC

Credit Card (circle one) : Visa MasterCard Discover American Express

Credit Card #___________________________

Expiration Date : ____________

Name on Card___________________________

Mail or Fax this form and Payment information to:

Strictly Outdoors, LLC
P.O. Box 454
New Lenox, IL 60451
FAX : 866-573-7479