Printable Order Form

Fill this page out first then print it.

INDIAN SMOKES
PO Box 443, Salamanca, NY 14779
Phone: 1-866-840-4500
	Date:		Phone:			Please type or print!
*Ship to Address*
Name:			(Tape a copy of your I.D. Here)
Address:

City:
State:		Zip:
Please include your payment (Check or Money Order) and mail to the address above.
Minimum order is 3 cartons. Please Call us for shipping cost! We do not ship out of the USA!
Order Info
Description			Price per Carton	Quantity	Shipping	Total





			Total Amount of Order
I CERTIFY BY SIGNING BELOW THAT I AM AT LEAST 18 YEARS OF AGE:
Sign here X_________________________
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