Orion Scents Order Form

Please use the form below to place your order and pay by check or money order. No credit card is needed. We believe deer hunters and fishermen are honest people who should be trusted to make good on all their requests.

We guarantee shipment of urine within five days of collection and will make every effort to ship to your house by the date you've requested. We will send you an email confirming your order. Please save the email as your receipt. Thank you!

After completing this form, mail your check or money order to:

ORION SCENTS FARMS
13055 Akron Ave
Plainfield, WI 54966

Remember, you can also place your order by phone by calling (715) 335-6080.

QTY	DESCRIPTION	PRICE EA.	TOTAL PRICE
	2 oz. Bottle of 100% Pure Doe Urine REQUESTED SHIP DATE*: * The earliest possible ship date is 03/11/2010.	$9.95	$
	2 oz. Bottle of 100% Pure Big Buck Urine REQUESTED SHIP DATE*: * The earliest possible ship date is 03/11/2010.	$9.95	$
	M.R.Bucks' Scent Tube - Red	$2.00	$
	M.R.Bucks' Replacement Wicks - Pack of 6	$2.50	$
	Orion Scents Blaze Orange Baseball Cap	$14.95	$
	Orion Scents Camouflage Baseball Cap	$14.95	$
	Camouflage Windsock	$29.95	$
SUBTOTAL			$
Please add $2.95 for shipping			$2.95
GRAND TOTAL			$

Please provide the following ordering information:
First Name
Middle Initial
Last Name
Date of Birth	(mm/dd/yyyy)
E-mail address
SHIPPING
Street Address
Address (cont.)
City
State	Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code

Please verify that all information entered above is correct, then click the Place Order button.