KOSCIELSKI'S & K.G.S. 2926 CHICAGO AVE, S. MPLS, MN. 55407
M-F 11-6PM SAT: 11-3pm
ORDER FORM
2926 Chicago Ave S.
Minneapolis, MN.
55407
ATT: Web Dept
Please PRINT this page and send it with your order. Be sure to include payment for the full amount of all the items you wish to purchase. You may e-mail us if you have any questions e-mail us at: creditcardshotgun@comcast.net
Name:_______________________________________________________
Address: ____________________________________________________
City/State/Zip: ________________________________________________
Email: __________________________________________
Date: _______________ Phone Number: _____________________
Note: All shipments will be sent U.S.P.S.
Quantity_____ Item_________________Amount_______Extended_________
Quantity_____ Item_________________Amount_______Extended_________
Quantity_____ Item_________________Amount_______Extended_________
Quantity_____ Item_________________Amount_______Extended_________
Quantity_____ Item_________________Amount_______Extended_________
Quantity_____ Item_________________Amount_______Extended_________
S&H Firearms: __________________________________________$15.95
Accessories:____________________________________________$10.95
Minnesota Residents only. 0.0775% sale tax__________________$________
Total___________________________________________________$________
Note: The items you have ordered will ship the same day your check or transaction clears our bank.
Payments by check: Check # _________or M.O#_____________
Thank You.
