Shepherd Hills Cutlery Order Form

Customer Name: ___________________________

Address:__________________________________

City: _____________________________________

State _____________ Zip: ___________________

Phone: (______) ___________________________

E-mail: __________________________________

Method Of Payment:
______Check                     Account Number: ___________________________________
______Money Order
______Visa                          Exp. Date: _______________
______Master Card             Signature:_________________________________________
______Discover                   Please Print Name: __________________________________

Mail the Order Form W/ Payment to:

Shepherd Hills Factory Outlets
P.O. Box 909
Lebanon, MO 65536-0909

To Order by FAX: 417-532-6044

To order by PHONE, call 1-800-727-4643