Lynndale Woodburning Furnace Order Form 

Print This Form and mail with your check, payable to Lynndale, Inc. to:
P.O. Box 1154, Harrison, AR 72602

 To schedule production of your order now, Fax completed form to (870) 741-2948
(Orders will remain scheduled for ten working days awaiting receipt of your payment.)

 Name ______________________________________________________

 Address ____________________________________________________

 City ___________________________________ ST ____ Zip _________

 Daytime phone (_______) ________-_____________ Ext. ___________

 Evening phone (_______) ________-_____________

Item Description (Model Number with Options)	#	Price (each)	Cost
__________________________________________	__	$________	$________
__________________________________________	__	$________	$________
__________________________________________	__	$________	$________
__________________________________________	__	$________	$________
__________________________________________	__	$________	$________
__________________________________________	__	$________	$________
Sales Tax - Add 6.125% if AR resident, or if you take delivery in Arkansas			$________
Total Cost of Order			$________

 Shipping & Handling - FOB Harrison, AR

 Thank you for your order. Delivery time may vary depending on item availability.

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