All orders are shipped as soon as possible.
 Mail this form to: GSTT Co. 1314 310th Ave., Frederic, WI 54837
Or Fax to 866-631-3067
First Name: 
Last Name: 
Street: 
City: 
State:  Zip: 
  Day Phone: 
   Evening Phone: 
Email:
Ship to (Complete only if different from above address)
Full Name: 
       Street: 
         City: 
State: Zip: 
Payment Information
Name on Card: 
      Exp. Date: mm
yy 
Card number: 
Cvv2 #:
(3 digit # on back of card
 
Visa  Master Card Discover Check

 
By signing your name, you agree to pay GSTT Co.

(Required) Signature: ___________________________________

Please indicate the following:
Item #
QTY
 Description 
Price/Unit
     Total 
Total of items before tax and shipping added:
Subtotal:
WI Residents MUST add 5.5% sales tax
WI Tax:
Estimated
 Shipping:
Total: