PHANTOM TACKLE ORDER FORM
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SHIP TO:

Name _______________________________________________________________
Address _____________________________________________________________
City ____________________________	State _________	Zip _______________
Phone ( _____ ) _________________________

Quantity Description & Size Color # Pk.Ct. Unit Price Total Amount Sub Total Tax (TX Res. add .0825% sales tax) Shipping & Handling Total Method of Payment - Please Check One Check or Money Order Visa MasterCard Account Number

Card Expiration Date: ____ /____ Signature: ____________________________________
Month/Year Signature required on charge orders by mail.

Mail orders to: PHANTOM TACKLE PO Box 162 Emory, TX 75440 or fax to: 903-473-0298

Name & Address including zip code (if different from above) ____________________________________________ ____________________________________________ Credit Card Orders Call: 800-866-9676 Return to Main Menu