Lodge Podge - Mail Order Form
Print this form for easy mail order.
Complete your order, send along with your check, money order or Credit Card info to:
Lodge Podge
18918 El Bello Paseo
Monroe, WA 98272
TOLL FREE: 1-866-787-0869
Local phone: (360) 805-4380
E-mail: lodgepodge@seanet.com
FAX: (360) 863-0590
QTYITEM # and NAME PRICETOTALS
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WA residents add 8.6% tax -                        
Shipping and Handling :
 
* Please contact me for shipping prices
Shipping & Handling 
TOTAL ORDER 
CREDIT CARD INFORMATION
Name on Card -
Card Number -
Exp.date                                            CIRCLE ONE:  VISA     M/C    DISCOVER
CUSTOMER INFORMATION
Customer Name
Address
City                                                           State                      Zip Code
Home Phone #                                               Work Phone #