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
916 First Street
Snohomish, WA 98290
(360) 563-9800
(360) 805-4380
FAX:  (360) 863-0590

QTY ITEM # and NAME PRICE TOTALS     $ $      $ $      $ $      $ $      $ $      $ $      $ $      $ $      $ $  WA residents add 8.5% 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 CUSTOMER INFORMATION Customer Name Address City                                                           State                      Zip Code Home Phone #                                               Work Phone #