WTR Mail-Order Form

Instructions: Please use our catalog to find the items you wish to order and fill out the form below.
Once you have filled in all the required information, click on the "Print Form" button.
Please send the completed form along with a check or money order to:
WTR
3508 Maddy Anne Ct.
Rapid City, SD 57701

Shipping Information:

Name:

Address:

City:      State:      Zip:

Phone Number:


Item Number
Description
Qty
Price Ea.
Total Price
Merchandise Total
Shipping
Sub-Total
4% Sales Tax (SD Residents Only)
Total Amount
Click Here For Shipping Info