WEBPAGE ORDER FORM

Mail: P.O. Box 6616, Portland OR, 97228 Fax: 503-222-3539 Phone: 800-654-6257
Item Number Qty Ordered Product Description
Cost Each Total
         
         
         
         
         
         
         
         
         
         
         
 Subtotal  
Company Name
Address
City/State/Zip 
Phone Account#________________________
Check Enclosed Visa MasterCard
Name on Card Exp
Date
Card #

please note that shipping & handling charges will be added to all orders

We at Hocks appriciate your order, and want to
THANK YOU
for your continued business
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