Jones Enterprises Printable Order Form

Instructions: A) To pay by Visa or MasterCard, print out completed form and mail to address below.
B) To pay by check, print out completed form and mail with payment to address below.

    Name: 
 Address: 
    City: 
   State:  Zip:                   Visa MasterCard
 Country:    Name on Card: 
   Phone:     Card Number: 
   Email:       Exp. Date: 


LIGHTNING STRIP Rust Remover / Copper & Brass Cleaner
(Add $8.00 per 24 Oz. and $10.00 per Gallon Shipping & Handling in U.S.)
 24 oz. sprayer @ $17.50 ea.    Gallons @ $35.50 ea.

ORANGE BRITE
(Add $7.50 per Quart Shipping & Handling in U.S.)
 Quarts @ $15.95 ea.

Sub Total: $
6.75% Sales Tax: $	(Illinois Residents Only)
Shipping Charge: $
Order Total: $

Jones Enterprises
2387 Brown Road
Carlock, Illinois 61725
(309)376-2216