Ocooch Hardwoods

26511 County Hy OO

Richland Center, WI 53581

Toll Free: 888-322-2432 Fax: 608-647-8595

Order Form

Date: _______________________

Ship to: ________________________________________________________

Street: ________________________________________________________

City _____________________________State ________ Zip _____________

Phone (___) ____________________________________________________

Quantity	Description	Unit Price	Total

Total Cost
Shipping
Sub Total
WI Sales Tax 5.5 % (Residents only)
Total Amount

We Accept:

Number:________________________________

Expiration Date __________________________

Signature _______________________________

This form can be printed and then mailed or faxed to us. Please fill in credit card information or send with check or money order to the above address.

Thank you.