Carolina Adirondack Order Form
 
Please use this Order Form for all orders
For Company Use Only

Order by Phone
336-577-3079
Mon-Fri 9am-5pm
Eastern
Order By Fax
336-725-5934
24 hours per day
7 days per week
Order By Mail
 Carolina Adirondack
P.O. Box 15356
Winston-Salem, NC USA 27113
Received   ___________________
Confirmed   ___________________
Shipped   ___________________
Tracking No.   ___________________
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   PURCHASED BY:    SHIP TO:                     Check if same as purchaser
  Name _________________________________________   Name _________________________________________
 
Street Address  _________________________________		  
Street Address  _________________________________
  City, State, Zip __________________________________   City, State, Zip __________________________________
  Daytime Phone __________________________________   Daytime Phone __________________________________
  E-Mail _________________________________________   E-Mail _________________________________________

 Product Description Qty Price Total
     
 
     
  
  
     
 
     
 
     
 
     
 
     
  
  
     
  
  
Returns and Refunds
Refund of the full purchase price (less shipping & handling) of any Carolina Adirondack product is available to the original purchaser within 30 days of delivery. A refund will be issued within 30 days of receipt of the return.Prices are subject to change without notice.

 SUBTOTAL  
  Add 7.75% Sales Tax
(North Carolina Only)		  
  Shipping & Handling
(10% of Subtotal if outside Triad area)		  
  TOTAL