Higgins and Higgins Diversified
5926 South 92nd East Avenue
Tulsa, OK 74145
(918) 459-8108
Fax:(918) 459-8307
Outside of Tulsa, OK, Call (800) 403-7760
 
ORDER FORM
 

Note: Shipping and Handling for USA ($5.00 For Order Sub-Total Less Than $63.00, or 8% of Order Sub-Total For Order Sub-Total Over $63.00)

After your order has been processed, you will be contacted if any items on your order are expected to be out of stock for more than two weeks. If order is time sensitive, please indicate so on the order form. Returns must be authorized, and requests for return must be made within 14 days of receipt.

 

First Name: Last Name:
Address (Street, Apt No.)
City: State: Postal Code:
Telephone Number: email Address:
 
Payment Method: * Visa, Master Card, Discover, American Express, Personal Check or Money Order
Credit Card Number: Expiration Date:
Cardholder's Name:
Cardholder's Signature:
   
Catalog Number Description Quantity Price
       
       
       
       
       
       
Sub-Total:  
OK Residents add applicable taxes:  
Shipping and Handling:  
Total:  

Rev. 10/17/97

DO NOT SEND CASH!

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