Visa/Master Card Visa/Master Card

Order Form

Please fill out the form below, print it out, and mail it with your check or money order to:
Lock Haven, 1370 Hwy. A-1-A, Suite C, Satellite Beach, FL. 32937

To keep our prices low we accept credit card purchases by phone only!
For credit card purchases phone:
(321) 779-0340

If you have questions or you require more information concerning other products, contact us at lockinfo@locksmythe.com.

 

1. Purchaser Information

Purchaser's Name:
Email Address:
Street Address
City:
State:

Zip Code:
Country:
Phone Number:
2. Item(s) you would like to order
Product
Quantity

Price
$ 
$ 
$ 
$ 
Total Price of Items:
$ 
Shipping Info: Shipping within the United States, $5.95 for orders totaling up to $35.00
Email us for shipping prices for orders totaling over $35.00 and for international orders.
  
Shipping and Handling:
$ 
Subtotal:
$ 
FL Residents Add 6% Sales Tax:
$ 
Total:
$ 
Please send check or money order to:
Lock Haven 1370 Hwy. A-1-A, Suite C, Satellite Beach, FL. 32937
3. Shipping Information

Please complete this section only if the address is different from above.
Recipient's Name:
Street Address
City:
State:

Zip Code:
Country:

 

Copyright © 2002 Lock Haven All Rights Reserved Worldwide
Comments and suggestions are welcome at lockinfo@locksmythe.com