PMTS.org ORDER FORM

Mail completed form and payment info to:
Harb Ski Systems
PO Box 111
Dumont, CO 80436
Phone orders: (303)567-4663
Fax orders: (303)567-4373

 

Name & Billing address of person placing order Ship To address: Check here if same as billing address:
Name   Name  
Address 1   Address 1  
Address 2   Address 2  
City, State, Zip   City, State, Zip  
Day phone   Delivery phone  
Evening phone   Is this a gift?
E-mail  
How did you hear of PMTS.org?
Are you a member of PMTS.org?
yes
no
 

 

Item & Description Color Size Qty Total $
         
         
         
         
         
Method of payment:

Check/money order		 MasterCard VISA American
Express

ITEM TOTAL

 
For delivery in Colorado, add 2.9% sales tax  
For delivery in Clear Creek or Grand county, add 1% sales tax  

Make check payable to "Harb Ski Systems" ~OR~

Account number:                                               

Expiration date:                       

Signature:                                                         

Shipping cost by # of large items
1 2 3 4 5
$3.85 $5.05 $7.15 $8.50 $9.85

 

TOTAL