Gate Latch USA Order Form

Fax/Mail and Phone Orders

Print this page and Fax toll free to: (888) 237-2246

or Mail to: GateLatchUSA P.O. Box 2315, Gearhart, Or. 97138

To order by Phone call toll free: (888) 235-9242

Item #	Description	Qty		Unit Price	Total Price













Sub Total
Shipping & Handling					$5.95
Total
Ship to Address (Please print)
Name:
Address:
City, State & Zip Code:
Phone:
Billing Address
Visa ( ) MasterCard ( ) Amex ( ) DiscoverCard ( ) CVV Code ( )
Card # Expiration Date:
Name as appears on card:			Phone:
Billing Address:			Fax:
City, State & Zip Code:
Purchasers Name:
Signature:
E-mail Address:

Please make check or money order payable to GateLatchUSA
To order by phone call toll free: (888) 235-9242
For customer service call: (888) 235-9242 or email us at: cs5@gatelatchusa.com

Method of Payment

Credit Card: If paying by credit card, please print the card information above.

Checks: Make payable to GateLatchUSA. Allow 3 to 8 days for us to receive your check and order, and 2 weeks clearance time for all checks. Returned checks due to insufficient funds will incur a $25.00 service charge.

Money Orders: Make payable to GateLatchUSA. Allow 3 to 8 days for us to receive your order and payment, and 2 weeks time for the money order to clear.

Terms/prices subject to change