Duro-Felt Products

Print and fax this form to 501-219-9611 if using a credit card. Or include a copy with your check OR MO payable to Duro-Felt Products and mail to 6 White Aspen Court, Little Rock, AR 72212. Please DO NOT use this order form to email your order as email is not secure and we cannot be held responsible if your cc # is lost or stolen.

shipping via U.S. Post Office on retail orders for U.S. customers ONLY.

Overseas orders require payment in U.S. dollars and will be charged extra for airfreight. Customers will also be responsible for all applicable customs duty in their country.

Name:
Company Name:
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Address:
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Payment Information/Method: Credit Card Check Money Order Cashier's Check
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Exp Date:
Name on the card:
Which Product Would You Like To Order:

6 White Aspen Court * Little Rock, AR 72212 Telephone: 501-225-2838 * Fax: 501-219-9611

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