Equipment Order Form

Submit this form electronically, or print the form and mail it in. We must receive your check before your order can be shipped. Weights are made to order. Allow 4 weeks for delivery. Shipping Charges not included in price.

Send your check to:

Merl Lawless
54 Frontier Lake Drive
Springfield, Illinois 62707
217-787-2918
Ancient Technologies

Any Questions? Send E-mail To:
Merl Lawless at
mclawless@sbcglobal.net

Name
Address
City
State
Zip
Phone
E-mail
Comments

12# Sheaf	$50.00	56# Weight	$120.00
16# Sheaf	$60.00	42# Weight	$110.00
20# Sheaf	$70.00	28# Weight	$99.00
22# Hammer / Steel Encased W/Handle	$70.00	14# Weight	$70.00
16# Hammer / Steel Encased W/Handle	$65.00	Extra 7" Round Handle	$20.00
12# Hammer / Steel Encased W/Handle	$60.00	Extra "D" Handle	$20.00

Enter the Quantity of each item you want to Order.
Enter total dollar amount here.

Enter the Quantity of each item you want to Order. Enter total dollar amount here.

Enter the Quantity of each item you want to Order.
Enter total dollar amount here.