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
612-827-3832
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@gmail.com Note: All shipments will be sent U.S.P.S. or U.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 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.
Name:_______________________________________________________
Address: ____________________________________________________
City/State/Zip: ________________________________________________
Email: __________________________________________
Date: _______________ Phone Number: _____________________
Accessories:____________________________________________$10.95
Minnesota Residents only. 0.0775% sale tax__________________$________
Total___________________________________________________$________
