Order Form


Don't have a credit or debit card ? Write us an E-Check, or just print out the form and and mail a Check or Money Order.

Submit this form with your order, or call us with your information. We will also accept Alert Pay, Revolution Money Exchange, Money Bookers, Western Union, Government and School Purchase Orders, Visa, Mastercard, American Express, Discover, and Diners Club
Credit, Debit and Gift Cards!

InterTran (www.tranexp.com)
Brasileiro - translations provided by: www.tranexp.com Bulgarian (CP 1251) - translations provided by: www.tranexp.com Czech/ceski (CP 1250) - translations provided by: www.tranexp.com Croatian/hrvatski (CP 1250) - translations provided by: www.tranexp.com Danske - translations provided by: www.tranexp.com Deutsch - translations provided by: www.tranexp.com Espanol - translations provided by: www.tranexp.com Finnish - translations provided by: www.tranexp.com Franais - translations provided by: www.tranexp.com Greek/Aeo - translations provided by: www.tranexp.com Hungarian/Magyar (CP 1250) - translations provided by: www.tranexp.com slenska - translations provided by: www.tranexp.com Italiano - translations provided by: www.tranexp.com Japanese (Shift JIS) - translations provided by: www.tranexp.com Nederlands - translations provided by: www.tranexp.com Norsk - translations provided by: www.tranexp.com Polish/polski (CP 1250) - translations provided by: www.tranexp.com Portuguese - translations provided by: www.tranexp.com Romanian - translations provided by: www.tranexp.com Russian/?nnee (CP 1251) - translations provided by: www.tranexp.com Serbian/srpski (Latin) - translations provided by: www.tranexp.com Slovenian/slovenski (CP 1250) - translations provided by: www.tranexp.com Svensk - translations provided by: www.tranexp.com Welsh/'n Cymraeg - translations provided by: www.tranexp.com
Translators may cause error with shopping cart.
Translations provided by: www.tranexp.com

Outpost Flags
Box 343
Goodman, WI 54125
USA

9:00 am to 9:00 pm Central time
Visa, Master Card, Discover, American Express, Alert Pay, Money Bookers, Western Union, E-Checks, Credit or Debit.
(715) 336-2645

(715) 336-2645

9:00 am to 9:00 pm USA Central time

(715) 336-2645

9:00 am to 9:00 pm USA Central time

Billing Information

(Where you get your bank or credit card statements)

Name:
Address:
City:
State:
Zip:
Other:
Country:
E-Mail:
Phone:

 

Shipping Information

(If different than billing)

Name:
Address:
City:
State:
Zip:
Other:
Country:
   
   
Auction Site:
(If you are paying for items won or purchased through one of our auctions, please let us know the name of the auction site)

Have you ever placed an order with us before?

Yes

No

 
Item Number

Enter the items you are ordering below.
Please be sure to include additional information such as ring size, hat size, or clothing size or other information such as colors,stone,type....etc...

Quantity
Price Per Item

Total Price

Item1:
Item2:
Item3:
Item4:
Item5:
Item6:
Item7:
Item8:
Item9:
Item10:
Enter Any Additional Items:

Item Number - Price - Description - Quantity

 
Total Price of all Additional Items:
     

Total Amount:

   

Shipping to USA (with tracking) is the base price of $8.95 for the first item. No additional shipping charge if total weight is less than than 1 pound. Add $2.95 for each additional item if total weight exceeds 1 pound. Shipping is $11.95 for large, long, or heavy objects. Customers from outside USA must pay a minimum of $25.00 for shipping WITH TRACKING unless they agree to NO TRACKING. For heavy, or large orders please contact us for a shipping quote.
Please enter the shipping total.

 
Shipping Total:
   
Wisconsin Residents Add 5.5% Sales Tax
(Non-Wisconsin residents leave this field blank)
 
Wisconsin 5.5% Sales Tax:
   
Please add the total amount, shipping price, and tax..
 
Total Price:
   
Payment Information
    Please select ONE payment option.
Master Card
Visa
Discover
American Express
   
   

(When you complete this form, please submit it, regardless of what payment option you have chosen.

     
     
E-Check (Fill out form below)
Money Order or Check By Mail

Phone In Order (715) 336-2645
9am - 9pm USA Central Time (Please submit this form also)

 

Credit Card Information

 
Fill this out only if you are paying with a credit card. If you dont want to submit your credit card information online, please feel free to call in your credit card information.
Card Number:
Expiration Date:
/
CCV Code:
(If you don't know what the CCV Code is please see the picture on right)

E-Check Information

Name on Check:
 
Account Type:
Check Number:
Bank Routing Number:
Account Number:
Bank Name:
Bank State:
Drivers License Number:
Drivers License State:


 

Fill this section out only if you are paying with an E-Check. If you don't want to submit your check information online, please feel free to call us with it. After you have submitted your E-Check information to us, please void the check number.

Type Any Additional Comments or Questions Here.
How did you find us?

Please review our terms, and then check your information carefully. Click the submit button when you are finished.

   

Locations of visitors to this page

 

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