Order Form

Send check or money order to: FJR Industries, Inc.
PO Box 968 - Painesville, OH 44077
Phone or Fax: 440-352-9333
We ship next day upon receipt of money orders. 
For personal checks, please allow 10 business days before shipment.

Last Name:

____________________________________

 First Name, Initial:

_________________________________________ 
Street: 

__________________________________________

City, State, Zip. or Postal Code and Country:

__________________________________________________________________________

 

Shipping & Handling Charges
Shipping charges: $3.50 for orders of $50.00 or less. $5.00 for orders greater than $50.00
Outside Continental U.S. or for expedited shipping method - Call for charges

 
Product Name and Size

Quantity

 Price Each TOTAL

Pole-Lock™ Fishing Rod Holder

 ______

$14.95

$______

Railock™ 7/8 inch diameter Rail Mount

 ______

$7.95

$______

Railock™ 1 inch diameter Rail Mount

 ______

$7.95

$______

Twili Tip ™ Wire Line Guide 

 ______

$7.95

$______

 

Merchandise Total

$_____

Ohio Residents add 6.75% Sales Tax

 $______

GROUND SHIPPING

$______
 

 

TOTAL

$______