Subtotal
Shipping Charge- U.S. Residents Only
$0.00
Make check payable to: Cochran Products
Thank you for your purchase!
$3.99
Email Address or Phone Number (in case we need to contact you)
Name
Billing Address
City
State
Zip
Your Shipping Address (if different from billing address)
City
State
Zip
Method of Payment
Cochran Products
2516 James St.
Scott City, MO 63780
 | ||||
Check
| ||||
Ship directly to me
| ||||
2ct.- Rubber Boot Bandage
Retail- case contains 12, 2ct.
packages ($59.40each)
$7.95
$59.40
Product Order Form
Customer Information
Customer's Personal Order
Description
Qty.
Unit Price
Amount
| ||||||
Grand Total
Shipping Charge- Non-U.S. Residents
All Non-U.S. residents (international
shipments) must pay $3.99 shipping and handling charge.
NOTE:
