Sharp Energy Mail Order Form - from Chincoteague Shopping
Instructions:
  1. Print out this form
  2. Fill in the information
  3. Determine the total cost of the items
  4. Virginia residents add  4.5 % sales tax
  5. Add shipping & calculate total
 Mail to:

Sharp Energy
4068 Main Street
Chincoteague Island, Virginia 23336

Checks,  Visa, and Master Card Accepted
Item Quantity Price Subtotal
Aluminum Crab Pot - 40 quart   72.00  
Aluminum Crab Pot - 60 quart   107.00  
Aluminum Crab Pot - 80 quart   138.00  
Virginia Sales Tax - Virginia Residents Only (4.5 percent of subtotal)  
Shipping for each crab pot - $10.00  
Total  
Credit Card Information
____ Visa
____ Master Card
Name as it appears on the card ____________________________

Credit Card Number ____________________________________

Expiration Date (Month/Year) ________________

Signature _________________________________

Billing & Mailing Address

Name

Apt. Number

Street Address

City

State & Zip

Telephone

Email