Order Form

To Order: Complete the following form along with your product choice form,
print and mail along with your payment to:
Nagawicka Lake Yacht Club
P.O. Box 154
Delafield, WI 53018

Date:
BILL TO :
Name:	.	Address:	.
City:.	.	State/Prov.:.	.
Zip/Postal:	.	Country:.	.
Phone:	.	Email:	.
SHIP TO: (if different)
Name:	.	Address:	.
City:.	.	State/Prov.:.	.
Zip/Postal:	.	Country:.	.
Phone:	.	Email:	.

Item #	Description	Color	Size	Qty	Price
.	.			.	.
.	.			.	.
.	.			.	.
.	.			.	.
.	.			.	.
Shipping Costs :
Total Amount Enclosed:

©Copyright 2006 by Nagawicka Lake Yacht Club & Web Centers of America, Inc.