Name: E-mail Address: Customer No.
Phone number for payment information: Best time for us to call you: AM PM
Retail Sales will not be made within the State of Georgia.
Shipping Address, Street Address, NO P.O. Box Numbers: City:
State: Zip Code:
Method of Payment: Money Order Personal Check COD
"DO NOT SEND PAYMENT UNTIL ORDER IS ACCEPTED AND CONFIRMED BY CAROLINA LURES, INC."
Item No: Description: Unit Price: Quantity:
By submitting this order, I agree that I have read and understand the Carolina Lures, Inc. order policy!
Your Name: Your E-mail Address:
Important: If you do not hear from us within 72 hours, please call us at 706-374-7761. E-mail is great but not always perfect and we do not want your order to be lost.