Story-Wright, Inc. MERCHANDISE ORDER FORM
Please print this form, complete in pen, and fax to
903-597-1437

Name _____________________________________________

Check One: ___Home ___Business

Address __________________________________________

__________________________________________________

City _____________________ State _____ Zip _______

Day Phone (____) ____-______

Eve. Phone (____) ____-______

E-Mail ___________________________________________


ORDER ITEMS:

Item #______ Description ___________________________________ Qty __ Price $______

Item #______ Description ___________________________________ Qty __ Price $______

Item #______ Description ___________________________________ Qty __ Price $______

Item #______ Description ___________________________________ Qty __ Price $______

Item #______ Description ___________________________________ Qty __ Price $______

-------------------------------------------------------Merchandise Total $________

-------------------------------------------------------Tx Residents add 8.25% Sales Tax $________

-------------------------------------------------------Shipping and Handling (see below) $________

-------------------------------------------------------TOTAL AMOUNT $________

-------------------------------------------------------P.O. #_______________


To Pay By VISA or MASTERCARD

Name on Card :_____________________________________


Mastercard # :_____________________________________ EXP DATE:________

Visa # :___________________________________________EXP DATE:________

Discover # :___________________________________________EXP DATE:________


_________________________________________________________________________________

To Pay by Check or Money Order - Please make payable and mail to::

Story-Wright, Inc.
415 N. Bonner
Tyler, Texas 75702
Office: (903)595-1991
Fax: (903)597-1437

Shipping and Handling Charges:

All Shipping will be priced at $5.00 per order.(unless otherwise specified)
Please Note: All Texas Residents please add 8.25% for sales tax


Please Allow 2 weeks for delivery unless otherwise specified


We hope you love every order you receive from Story-Wright, Inc.,
but if you don't just complete the Merchandise Return Form with your order
and send it back within 30 days of receipt to:

Story-Wright, Inc.
415 N. Bonner
Tyler, Texas 75702
Office: (903)595-1991
Fax: (903)597-1437

We will ship your exchange to you at no additional charge

Sorry, postage and handling charges are not refundable on returns.

Story-Wright, Inc.
415 N. Bonner
Tyler, Texas 75702
Office: (903)595-1991
Fax: (903)597-1437