Telephone, Mail, or Fax Order Form

Please print this form from your web browser, fill it out completely. Mail or Fax or you can call us and we will take your order over the telephone. Telephoned credit card orders must go to the billing address of the cardholder. Please do not email credit card numbers for security reasons. Please include your daytime telephone number. We will only contact you if we need additional information.

Date _________________________________

Name ______________________________________________________________

Shipping Address ____________________________________________________________

City ____________________________________  State ____________  ZIP Code __________ + _________

Country ______________________________

Telephone Number (_______)___________________   FAX Number (______)_______________________

E-Mail  Address ______________________________________________________

PAYMENT:
VISA, MASTERCARD, DISCOVER # _______________________________________
EXP _________________
I AGREE TO PAY THIS TOTAL SHOWN HEREON AS SET FORTH IN MY
AGREEMENT WITH THE ISSUER.
SIGNATURE __________________________________________________________

___ CHECK OR    ___ MONEY ORDER INCLUDED

___ COD - ADD $5.00 TO SHIPPING AND HANDLING

Make your money order or check payable to and mail this form to:

Hudson River Metal Detector Sales
1447 Route 44, Pleasant Valley, NY 12569
Phone (845) 635-3488, Fax (845) 635-1838
Questions? Email: info@detectorpro.com