Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Star Rug Company 6191 Link Drive Indian River, Michigan United States 49749 Phone #: 231-238-6894 Fax #: Email: starrugcompany@freeway.net
Circle Payment Method: Check Money Order
Print Name:
Address:	Email:
City:
State & Zip:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
Michigan residents must add 6.00% sales tax-
MAKE CHECKS PAYABLE TO: Maria Barton	Total :

Thank you for shopping at Star Rug Company.