ORDER INFORMATION: CURRENT CUSTOMER     YES   NO

NAME:
ADDRESS:
CITY: STATE / PROVINCE:ZIP:
DAYTIME PH #: E-MAIL:

SHIPPING ADDRESS (IF DIFFERENT)

NAME:
ADDRESS:
CITY: STATE /PROVINCE:ZIP:

SPECIAL SHIPPING INSTRUCTIONS

METHOD OF PAYMENT
CREDIT CARD: VISA  MASTERCARD  DISCOVER PAYPAL

BILLING ADDRESS (If different than shipping or contact address) 
CITY: STATE: ZIP:

ACCOUNT #: PAYPAL ID: (WILL INVOICE FOR PAYMENT)
EXPIRATION DATE: 3 DIGIT SECURITY CODE-BACK OF CARD:
NAME ON CARD:         

 Thank you for your order. Our online shopping cart is coming soon. For now:
Please print this information and send by mail to address above. 
Or fax to (208) 245-5358
You can also call in your order to 1-888-233-4366
 Most orders processed in 24 hours or less.  
Thank You, Eidnes Furs, Inc.