For your convenience, we include the following form that you can print out and mail or FAX to Dixie Depot.
Shipping Address:
Name: _____________________________ Street: _____________________________
City: __________________________ State/ Province :____________ Zip Code: _______
Country: ______ Phone: (____)________________E-Mail ________________________
Catalog # ______ Des. ______________________Quant.____ Price ea. ____Tot $_______
Catalog # ______ Des._______________________Quant.____ Price ea______Tot $______
Catalog # ______ Des. ______________________ Quant._____Price ea.______Tot $_____
Catalog # ______Des._______________________ Quant._____ Price ea _____Tot $_____
Catalog # ______ Des._______________________Quant._____ Price ea______Tot $ ____
Catalog # ______ Des._______________________Quant._____ Price ea.______Tot $____
Catalog # ______ Des._______________________Quant._____ Price ea.______Tot $____
Catalog # ______ Des._______________________Quant._____ Price ea ______Tot
$____
Note: for international S&H, E-Mail for amount.
Merchandise amount due $_________
Plus Shipping & Handling U.S.A. $5.00
Total amount ------------ $_______
Georgia Residents add 7% Sales Tax --$________
Total aount due ------------ $________
Credit Card (_) or Check (_). VISA(_) Master Card(_) Discover
(_)
Card # _______________________________________ Exp. Date ______
Your Signature _______________________________E-Mail ______________________
Make checks payable to Dixie Depot.
Mail to: Dixie Depot, P.O. Box 1448, Dawsonville, GA 30534
FAX to: 1-404-257-1992, Call orders for $20.00 or more to 1-800-942-2447
Note: Include Address on your credit card if different
from the shipping address above.
Name:_____________________, Street: _______________________
City: _______________________ State/ Province: _________________
Zip: ________
Country: ___________________