Print this order form out and send with your payment. Please e-mail prior to sending in order form to assure product availability.if you are purchasing the 5" pipes or under, we'll ship 3 together for $5.00 shipping fee, otherwise e-mail us for a quote

Purchase Order

Please include phone number and e-mail address
From ___________________________
___________________________
___________________________
___________________________

To: Larry's Smoke Shop
P.O. Box 941

Granite Quarry, NC. 28072
larryssmokeshop@yahoo.com

Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Quantity ________ Description _________________________ Unit Price _______ Total ______
Subtotal ___________
Shipping ___________
Please e-mail us your order and we will calculate shipping for you and e-mail you back with shipping price before you place your order.