Mail Order Form

Print this page and fill it out completely.  Mail the completed form along with your check or money order to

Edward Leger
390 Brown Road
Florien, LA 71429

Ship to information:

Ship to name ______________________________________________

Ship to address_____________________________________________

Ship to city and state________________________________________

Ship to zip code_____________________________________________

Daytime phone______________________________________________

Evening phone______________________________________________

Contact name_______________________________________________

Additional information you would like to include:

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

Place a check mark in the box next to the model swing you are purchasing.  Then put the quantity you are ordering in the box marked "QTY"

Check QTY Description
  Cypress Round Bottom Swing- 2 foot $59
  Cypress Round Bottom Swing- 4 foot $119
  Cypress Round Bottom Swing- 5 foot $127
  Cypress Round Bottom Swing- 6 foot $257
     
  Cypress Round Bottom Glider- 4 foot $310
  Cypress Round Bottom Glider- 5 foot $310
     
  Cypress Rollback Swing- 2 foot $59
  Cypress Rollback Swing- 3 foot $139
  Cypress Rollback Swing- 4 foot $135
  Cypress Rollback Swing- 5 foot $139
  Cypress Rollback Swing- 6 foot $259
     
  Cypress Rollback Swing W/Cup Holders- 3 foot $164
  Cypress Rollback Swing W/Cup Holders- 4 foot $160
  Cypress Rollback Swing W/Cup Holders- 5 foot $164
  Cypress Rollback Swing W/Cup Holders- 6 foot $284
     
  Cypress Rollback II Swing- 2 foot $59
  Cypress Rollback II Swing- 4 foot $122
  Cypress Rollback II Swing- 5 foot $122
  Cypress Rollback II Swing- 6 foot $229
     
  Cypress Rollback II Swing W/Cup Holders- 4 foot $147
  Cypress Rollback II Swing W/Cup Holders- 5 foot $147
  Cypress Rollback II Swing W/Cup Holders- 6 foot $254
     
  Treated A-Frame For 4 or 5 Foot Swing- $150

Add $40 shipping for each item ordered

Make check or money order out to Edward Leger