HOPS SCRIMSHAW ORDER FORM
PLEASE DISREGARD REQUEST FOR CREDIT CARD INFORMATION BELOW
Our PayPal shopping cart now offers secure on-line ordering. Check out is through PayPal and it is now optional to have a PayPal account to check out and sign-up is no longer required. If you prefer not to use our secure cart method please print out this form and mail your order to us.

Please be sure to complete all shipping information. PO Boxes are OK as we ship all orders via US Postal Service.

HOPS' SCRIMSHAW
PO Box 365 • Mitchellville, Iowa 50169
Email: GoToHops@msn.com
515-967-7966

(E-mail is the preferred method of contacting us)

NOTE: Depending on your browser and system settings This Order Form
may open in a separate browser window, if you want to return to the
web site you must close this window.

NAME

DAY PHONE

ADDRESS

APT. NO.

CITY

EVE. PHONE

STATE ZIP

COUNTRY

E-MAIL

CARD NUMBER

WE NO LONGER ACCEPT CREDIT CARDS OURSELVES,
PLEASE USE THE PAYPAL SHOPPING CART,
"ADD TO CART" BUTTONS ARE LOCATED ON EACH PRODUCT PAGE
TO THE LEFT OF THE PRODUCT NAME AND TYPE OF MOUNTING YOU WANT.

WE APOLOGIZE FOR NOT BEING ABLE TO REMOVE
THIS SECTION OF OUR ORDER FORM

NAME ON CARD EXP. DATE

AUTHORIZED SIGNATURE DATE


QUANTITY

ORDER NO.

DESCRIPTION

PRICE EA.

TOTAL

 

 

 

 

 

 


SHIPPING CHARGES

 Merchandise Total

 

USPS First Class shipping is FREE
Priority Shipping, please add $7.00

IA Residents Add 6% Sales Tax

 

OPTIONAL INSURANCE CHARGES

Shipping

Up to $50 add $1.50
From $50.01 to $100 add $2.50
Insurance
For each additional $100 add $1

 Total Amount of Your Order


Thank you for your order & God Bless, HOP