Mail Order Form

 

Print this form. Fill it out and send it with your check or money order (made payable to Nelson D. Berry).

 

Please send mail order to:

 

Nelson D. Berry
POB 2555

Stillwater, OK   74076

USA


Print out this order form and fill it out neatly, completely and accurately to ensure the fastest response to your order that is possible. We may need to contact you if any issues arise with your order. Thank you. Please enclose Check or Money Order made out to Nelson D. Berry. Orders will be processed upon the receipt of this order form. Orders will be on hold until personal checks are cleared. We only accept Credit Card payments when ordering through the web site, not through the mail order form.

 
Customer Address Comments and Special Instructions
Name:  
Street Address:  
City:  
State:  
Zip Code:  
Email Address:  
Area Code + Phone Number:  

 

Product Description (Part number if available) Quantity Ordered Price Per Item Quantity X Price = Total Price Per Item
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
Subtotal: Add all items in the "Total Price Per Item" Column:  
Residents of Oklahoma add 6.25% sales tax.  
No Shipping and Handling charges!  We deliver all products via email and/or download. 

  XXXXXXXXXXXXXX
Grand Total: Add Oklahoma Sales Tax (if applicable) to Subtotal. Include this amount in your Check or Money Order