Barnacle Bill's Ship Store Order Form

Print this Order Form and Mail it in. Or you can fax it in at (574) 522-2172
Quantity Item Number Description Size Color Price/Each Total Cost
Shipping Charge  
Order Total  

We accept Visa & Mastercard             Click here to get your shipping charges

Name on credit card_____________________________________________________

Address City, State Zip____________________________________________________

Credit Card NO.________________________________ EXP Date____/____

Circle which card:      VISA      MASTERCARD

Tell us your ship's name and hull number_________________________________________

Email Address_______________________________

Print this form. You can mail it with your Check or Money Order to:

Barnacle Bill's Ship Store
28135 W. Hively Ave
Elkhart, IN 46517.
Fax Number - (574) 522-2172

Please make checks or money orders payable to Barnacle Bill's Ship Store

Ship to address:           Name:______________________________________

                                      Street: _______________________________________

                                      City: ___________________________ State: _____ Zip: __________

                                      Phone: ___________________________