Mail In Order Form

                 Mail to:  Grawe's Lures, Box 306, Wahpeton, ND 58074

ShipTo____________________________Date____________20________

Address_____________________________________________________

Address Continued_____________________________________________

City______________________________State________Zip Code________

Credit Card  Visa or MasterCard (circle one)  Card No.__________________

Cardholder Name_____________________Expiration Date______________

Quantity

Description

Catalog Page #

Price

       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

Minnesota residents add 6 1/2% sales tax:

   

S&H:

   

Thank Your For Your Order!  Total: