FAX order form

Alaska Smoked Fish FAX Order Form

Instructions

1. Fill in the form blanks below
2. Print out the form on your printer
3. FAX it to us at 1 (907) 966-2583 any time OR mail it to us: Big Blue Fisheries, PO Box 2956, Sitka, AK 99835. If you mail a check, it must be drawn in US Dollars on a US Bank.

Buyer Information (who is buying this)

Name

(As it appears on
your credit card)

Address

(where you get your
credit card statement)

City

State / Province

Zip / Postal Code

Country (if not USA)

Telephone

E-mail

(Not required)

Method of Payment:

Check

Money Order

VISA

MasterCard

(select one)

Card Number

Expiration Date:

FedEx Shipper Number		(If you have one)
What date is this needed:

Recipient Information (to whom and where is this order going if different from above)

Name

Address

(recipient address)

City

State / Province

Zip / Postal Code

Country
(if not USA)

Telephone:

Please send the following
Item Code	Description	Quantity	Price per pound

Comments or special instructions