DENNINGER ORDER FORM
1. Print form. 2. Fill it out. 3. Phone (870) 436-3974
Fax it to (870) 436-3974 or Snail mail it to:
DENNINGER WEATHER VANES & FINIALS, HC 3 Box 3335, Theodosia, MO 65761 USA

Date _____ / _____ / _____
MAILING / CREDIT CARD BILLING ADDRESS:

Name____________________________Address________________________________________

City____________________________________State______ Zip____________ USA or ________

Phone____________________ Fax____________________email___________________________
SHIP TO: (if different)

Name____________________________Address_______________________________________

City____________________________________State______ Zip____________ USA or ________

Phone____________________ Fax____________________email___________________________
CIRCLE ONE: Check, M.O., or (US FUNDS ONLY)
Card No: ________ - _________ - _________ - ________ Exp. Date ____ / ____ , 3 digit code _____
Quantity ......... Item ................................................................................................................ Price

______ ..._____________________________________________________________...________

______ ..._____________________________________________________________...________

______ ..._____________________________________________________________...________

______ ..._____________________________________________________________...________

______ ..._____________________________________________________________...________

...................................................................................................................Sub Total............________

.....................................................................................................................Shipping............________

..........................................................................................................................Total..............________

..................................................................... Sales Tax on subtotal plus shipping.........________

............................................................................................................Final Total.............________
Shipping Charges:
Copper Weather Vane..................................................$45.00 *
Copper Cap, Garniture or Finial....................................$45.00 *
* Larger sizes may require a wooden crate, and item will be sent via UPS O/S 3 or Truck (charges to be determined)